Elsevier

American Journal of Otolaryngology

Volume 31, Issue 5, September–October 2010, Pages 395-396
American Journal of Otolaryngology

Case report
Somatostatin in medical management of chyle fistula after neck dissection for papillary thyroid carcinoma

https://doi.org/10.1016/j.amjoto.2009.05.002Get rights and content

Abstract

The use of somastostatin and its analogues in the treatment of chyle fistula is a new approach and has been documented in a few cases. In this study, we present the case of a male patient with chyle fistula that was stopped completely within 24 hours after the somatostatin therapy.

Section snippets

Case report

A 42-year-old man was referred to the general surgery department because he had swelling in the supraclavicular side and aching neck for 1 year. Physical examination revealed the thyroid was larger than normal, and the detected mass was tender and fixed to the underlying tissue in the left supraclavicular side. Ultrasound, computed tomography, and magnetic resonance imaging with contrast revealed multinodulary growth in the thyroid lobe, and a number of lymph nodes were detected in the left

Discussion

Chyle fistula resulting from violation of the thoracic duct or right lymphatic duct during neck dissection is a rare complication with potentially serious morbidity. It occurs 1%–2.5% after neck dissection, with most occurring on the left side [1], [2]. Moreover, it has also seen after penetrating neck trauma, cervical node biopsy, and cervical rib resection [2]. The thoracic duct terminates in the angle of the junction of the left internal jugular and subclavian veins. However, the draining

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