Diferencia entre revisiones de «Chylous leak»
(Created page with "==Background== *Most commonly caused by lymphoma (60%) **Other causes ***Trauma (25%) ***Iatrogenic injury after head and neck surgery (15%) ****Thoracic duct enters the neck...") |
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==Clinical Features== | ==Clinical Features== | ||
Chyle can accumulate in the thoracic and abdominal cavities leading to: | Chyle can accumulate in the thoracic and abdominal cavities leading to: | ||
*Chyle | *Chyle Fistula | ||
*Chylous Effusion | *Chylous Effusion | ||
*Chylous ascites | *Chylous ascites | ||
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*poor wound healing | *poor wound healing | ||
*fistula formation | *fistula formation | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Revisión del 08:47 25 feb 2018
Background
- Most commonly caused by lymphoma (60%)
- Other causes
- Trauma (25%)
- Iatrogenic injury after head and neck surgery (15%)
- Thoracic duct enters the neck to the left of the esophagus and arches several centimeters above the clavivle.
- Other causes
Clinical Features
Chyle can accumulate in the thoracic and abdominal cavities leading to:
- Chyle Fistula
- Chylous Effusion
- Chylous ascites
- Chylothorax
- Chylopericardium
Leakage of fluid can lead to
- inflammatory reaction
- infection
- electrolyte abnormalities
- poor wound healing
- fistula formation
Differential Diagnosis
- Abscess
- Malignancy
Evaluation
Management
Disposition
See Also
External Links
References
Pascual J, Hsiao T, Goldstein S. Chylous Leak - The abscess doppleganger. Visual Journal of Emergency Medicine. 9C (2017) pp. 63-64