Université d'Auvergne Clermont1 | CNRS

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Lymphovenous anastomosis for recurrent swelling syndrome and chylous effusion due to cervical thoracic duct cyst.

TitleLymphovenous anastomosis for recurrent swelling syndrome and chylous effusion due to cervical thoracic duct cyst.
Publication TypeJournal Article
Year of Publication2014
AuthorsVeziant, J., L. Sakka, G. Galvaing, M. M. Tardy, L. Cassagnes, and M. Filaire
JournalJournal of vascular surgery
Date Published2014 Apr 15
ISSN1097-6809
Abstract

Thoracic duct (TD) cyst is an uncommon abnormality that can be manifested as a cervical swelling. Pathogenesis includes congenital or degenerative weakness of the wall of the TD and obstruction of the lymphoid flow. Diagnosis is crucial to eliminate malignant disease or vein thrombosis and can be established by imaging and needle aspiration. We report a case of recurrent cervical swelling with spontaneous chylothorax and chyloperitoneum. A TD cyst with a terminal obstruction of the TD was diagnosed on lymphangiography. Treatment by microsurgical lymphovenous anastomosis was successful, and the patient was free of symptom 3 years later.

DOI10.1016/j.jvs.2014.02.060
Alternate JournalJ. Vasc. Surg.