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Thoracic Duct Obstruction


Presentation

  • A case is presented in which intermittent swelling of the face, left upper limb and both lower limbs was associated with steatorrhea. The thoracic duct was found to be obstructed at the thoracic outlet.[ncbi.nlm.nih.gov]
  • The anomalies are organized by anatomical system and presented in a consistent manner, including details of the clinical presentation, epidemiology, embryology, treatment and prevention for each anomaly.[books.google.com]
  • Published in association with the Society for Vascular Surgery, Rutherford’s Vascular Surgery presents state-of-the-art updates on all aspects of vascular health care.[books.google.com]
  • Case Presentation We present a 64 year-old male, with history of tobacco consumption of 50 pack-years. The symptoms of presentation were logic dysphagia.[austinpublishinggroup.com]
  • Peripheral lymphadenopathy can be found in more than two third of the patients with NHL and approximately 20% present with mediastinal adenopathy. Mediastinal involvement can be the sole presentation in primary NHL or as part of systemic disease.[ispub.com]

Workup

Pericardial Effusion
  • Chylous pleural or pericardial effusion . Did you find this information useful? yes no Roche-Nagle G, Ryan R, Barry M, et al ; Effort thrombosis of the upper extremity in a young sportsman: Paget-Schroetter syndrome.[patient.info]
  • Other associated thoracic findings include pleural and rarely pericardial effusion. Pleural disease is seen in up to 10% of patients at the time of diagnosis (11).[ispub.com]

Treatment

  • Extensively revised by many new authors to meet the needs of surgeons, interventionalists, and vascular medicine specialists, this medical reference book incorporates medical, endovascular and surgical treatment , as well as diagnostic techniques, decision[books.google.com]
  • The anomalies are organized by anatomical system and presented in a consistent manner, including details of the clinical presentation, epidemiology, embryology, treatment and prevention for each anomaly.[books.google.com]
  • Treatment of thoracic duct injury treatment Department of Surgery: thoracic surgery Treatment: drug treatment supportive treatment of surgical treatment Treatment cycle: 30-60 days Cure rate: 70% Commonly used drugs: Recombinant human interleukin - 2[healthfrom.com]
  • , specific treatments including somatostatin, octreotide, sirolimus, and pleuroperitoneal shunt.( 7 ) Conservative treatment has an approximately 50 to 80 percent success rate in postoperative chylothorax, with higher success rates reported in patients[jtraumainj.org]
  • This treatment results in resolution of the chylothorax in 36-61% of cases [4,5]. In cases of high flow output chylothorax or failure of conservative treatment, reoperation is indicated as the next step.[austinpublishinggroup.com]

Prognosis

  • What is the treatment of choice and what is the likely longterm outcome (prognosis)? Surgical removal of the spleen is indicated.[quizlet.com]
  • In this article arrow-down Definition arrow-down Epidemiology arrow-down Presentation arrow-down Differential diagnosis arrow-down Investigations arrow-down Management arrow-down Prevention arrow-down Prognosis arrow-down Complications Synonyms: Paget-von[patient.info]
  • Thoracic duct cysts are totally benign and carry an excellent prognosis after adequate surgical excision. No cases of malignant transformation have been reported so far ( 11 ).[atm.amegroups.com]
  • Prognosis and results of treatment The majority of patients can control their leg swelling with compression stockings during the day and nocturnal elevation.[surgwiki.com]
  • The prognosis in non-traumatic chylothorax is dependent on the underlying disease process and is worse in malignancy related chylothorax.[ispub.com]

Etiology

  • The clinical features of chylothorax depend on the rate of chyle accumulation in the pleural space as well as the concomitant effect of the etiology.[ispub.com]
  • Thoracic surgeries including esophagectomy or pulmonary resection are the usual etiologies, representing 80% of traumatic causes.( 2 ) Nonsurgical traumatic chylothorax can complicate central venous catheterization, pacemaker implantation, and chest trauma[jtraumainj.org]
  • We reviewed the literatures to find out the etiology, and we get done the contrast enhanced computed tomography (CECT-chest), venous Doppler of lower limb and deep neck veins and echocardiography.[jacpjournal.org]
  • Due to mass effects or the direct invasion of disease into lymphatic vessels, thoracic malignancies such as neuroblastoma and lymphomas are the original etiology of some chylothoraces 1 .[thoracic.org]
  • Once chylothorax is confirmed, imaging studies are typically required to hunt for the etiology unless it is obvious.[lungindia.com]

Epidemiology

  • The anomalies are organized by anatomical system and presented in a consistent manner, including details of the clinical presentation, epidemiology, embryology, treatment and prevention for each anomaly.[books.google.com]
  • In this article arrow-down Definition arrow-down Epidemiology arrow-down Presentation arrow-down Differential diagnosis arrow-down Investigations arrow-down Management arrow-down Prevention arrow-down Prognosis arrow-down Complications Synonyms: Paget-von[patient.info]
  • Epidemiology – The study of the various factors, patterns, and causes which determine the frequency of a disease on the human community. Etiology – The cause (s) or origin of disease. Also used as a parameter of classification.[lgdalliance.org]
Sex distribution
Age distribution

Pathophysiology

  • Boccardo F, Bellini C, Eretta C et al (2007) The lymphatics in the pathophysiology of thoracic duct and abdominal surgical pathology: immunological consequences and the unexpected role of microsurgery.[link.springer.com]
  • Question 3 Which of the following statements regarding the pathophysiology of chylothorax is INCORRECT? Chylothoraces in premature babies can occur when there is compression of the main thoracic duct.[thoracic.org]
  • Lymph Stasis: Pathophysiology, Diagnosis and Treatment . London: CRC Press; 1991:16-39. 3. Baluk P, Fuxe J, Hashizume H, et al. Functionally specialized junctions between endothelial cells of lymphatic vessels. J Exp Med . 2007;204:2349-2362. 4.[phlebolymphology.org]
  • […] outside world, more common in the open neck injury or surgery, accompanied by cervical thoracic duct injury, this time, the wound lasting and chylous fluid continued extravasation or leakage, According to the amount of leakage, resulting in different pathophysiological[healthfrom.com]

Prevention

  • Most PICC procedures should ideally be guided by point-of-care bedside ultrasound (US), and this precaution may prevent malposition of PICC lines although it will not detect subsequent migration or extravasation.[arizona.pure.elsevier.com]
  • The anomalies are organized by anatomical system and presented in a consistent manner, including details of the clinical presentation, epidemiology, embryology, treatment and prevention for each anomaly.[books.google.com]
  • In this situation of high intralymphatic pressure, lymphatic valves were not sufficiently strong to prevent backflow.[journals.lww.com]
  • XENical in the prevention of diabetes in obese subjects (XENDOS) study: a randomized study of orlistat as an adjunct to lifestyle changes for the prevention of type 2 diabetes in obese patients. Diabetes Care 2004: 27(1):155-161. ‎[books.google.es]
  • Can control the amount of leakage of chylous solution, but also add chitosan loss of nutrients, keep the patient in a good nutritional state, to correct and prevent metabolic disorders.[healthfrom.com]

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