Chyle leak: a rare complication post-hemithyroidectomy. case report and review of literature.

Almoaidbellah Rammal, Faisal Zawawi, Rickul Varshney, Michael P Hier, Richard J Payne, Alex M Mlynarek

Journal: Otolaryngologia polska = The Polish otolaryngology 2016;68(4):204-7

PMID: 24981304

Full Text on Elsevier Science View on PubMed

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.

Address: Department of Otolaryngology - Head and Neck Surgery, McGill University, Montreal, QC, Canada.; Department of Otolaryngology - Head and Neck Surgery, McGill University, Montreal, QC, Canada; Department of Otolaryngology - Head and Neck Surgery, King Abdulaziz University, Jeddah, Saudi Arabia. Electronic address: [email protected].

DOI: 10.1016/j.otpol.2014.03.003

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MeSH Terms: Adult, Chyle, Humans, Male, Middle Aged, Postoperative Complications, Rare Diseases, Thoracic Duct, Thyroidectomy