Abstract
Chylous fistula in the neck occurs in 1-2% of cases undergoing neck dissection with higher incidence on the left side due to damage of a high riding thoracic duct. Chylothorax is a rare complication; approximately 20 cases of bilateral chylothorax have been reported in the past 100 years. We report a case of bilateral chylothorax following neck dissection done for metastatic malignant melanoma DOI: 10.4038/cmj.v55i4.2632 Cey lon Medical Journal 2010; 55: 126-127
Highlights
Chylous fistula in the neck occurs in 1-2% of cases undergoing neck dissection with higher incidence on the left side due to damage of a high riding thoracic duct [1]
A diet consisting of medium chain fatty acids, and intravenous antibiotics was given
The neck drains were removed on day 4 and day 7 respectively, while the chest drain was removed on day 10
Summary
Chylous fistula in the neck occurs in 1-2% of cases undergoing neck dissection with higher incidence on the left side due to damage of a high riding thoracic duct [1]. Chylothorax is a rare complication; approximately 20 cases of bilateral chylothorax have been reported in the past 100 years [2]. We report a case of bilateral chylothorax following neck dissection done for metastatic malignant melanoma
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