Early radiologic intervention for postesophagectomy chylothorax

      A 60-year-old patient who had presented with adenocarcinoma of the lower third of the esophagus had undergone Ivor-Lewis esophagectomy (superior polar esogastrectomy using an abdominal and a thoracic approach). On postoperative day 2, the chest drainage output became abundant (1500 mL/d), and chylothorax was suspected. The diagnosis was confirmed by the high concentration of chylomicrons in the pleural fluid. Considering the early onset and significant output, percutaneous embolization of the thoracic duct was proposed.


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