Chyle leak: A rare complication posthemithyroidectomy. Case report and review of literature
Journal Title: Otolaryngologia Polska - Year 2014, Vol 68, Issue 4
Abstract
Background: Thyroidectomy is one of the common neck surgeries. Well recognized complications include postoperative bleeding, hypocalcaemia and recurrent laryngeal nerve injury. Chyle leak post-thyroidectomy is extremely rare. Most of the reported cases have had a complete central compartment neck dissection. Methods and results: This is a case report of a patient who suffered from chyle leak after a left hemithyroidectomy without a complete central compartment neck dissection. The patient was managed conservatively with low fat diet and observation. A protocol for approaching thyroid patients with chyle leak is proposed based on a comprehensive literature review. Conclusion: Chyle leak post-thyroidectomy for a benign disease is a very rare complication. Nevertheless, head and neck surgeons should consider it in the differential diagnosis of neck swelling post-thyroidectomy.
Authors and Affiliations
Almoaidbellah Rammal, Faisal Zawawi, Rickul Varshney, Michael Hier, Richard Payne, Alex Mlynarek
Keywords
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