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Pippard B, Clarke L, Chew V, Conroy K, Dunleavy J. Massive colothorax secondary to intestinal pseudo-obstruction: an unusual cause of respiratory failure. Thorax 2022; 77:946-947. [PMID: 35393343 DOI: 10.1136/thoraxjnl-2021-218282] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2021] [Accepted: 03/21/2022] [Indexed: 11/03/2022]
Affiliation(s)
- Benjamin Pippard
- Department of Respiratory Medicine, University Hospital of North Tees, Stockton-on-Tees, UK
| | - Laura Clarke
- Department of Radiology, University Hospital of North Tees, Stockton-on-Tees, UK
| | - Victor Chew
- Department of Respiratory Medicine, University Hospital of North Tees, Stockton-on-Tees, UK
| | - Kevin Conroy
- Department of Respiratory Medicine, University Hospital of North Tees, Stockton-on-Tees, UK
| | - Julia Dunleavy
- Department of Respiratory Medicine, University Hospital of North Tees, Stockton-on-Tees, UK
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Kosugi SI, Hashimoto T, Sato Y, Hirano K, Sunami E, Matsuzawa T, Takahashi M, Ichikawa H. Cardiac tamponade communicating with a posterior mediastinal chylocele after esophagectomy. J Surg Case Rep 2018; 2017:rjx216. [PMID: 29423153 PMCID: PMC5798138 DOI: 10.1093/jscr/rjx216] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2017] [Accepted: 10/11/2017] [Indexed: 11/14/2022] Open
Abstract
A 75-year-old male received neoadjuvant chemotherapy for locally advanced squamous cell carcinoma of the mid-thoracic esophagus, followed by right transthoracic esophagectomy with extended mediastinal lymphadenectomy. Cardiac tamponade developed on postoperative Days 1 and 13, for which emergency ultrasound-guided drainage was required. Pericardial drainage fluid became chylous after administration of polymeric formula. A computed tomography scan demonstrated the presence of a retrocardiac fluid collection, encompassed by the left pulmonary vein and left atrium, descending aorta and vertebral column. Based on these findings, the diagnosis of chylopericardial tamponade communicating with a posterior mediastinal chylocele was made. The ligation of the thoracic duct was successfully performed via the left-sided thoracoscopic approach on postoperative Day 20 and the clinical course after the second operation was uneventful. The possible mechanisms of this exceptionally rare complication after esophagectomy were discussed.
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Affiliation(s)
- Shin-Ichi Kosugi
- Department of Digestive and General Surgery, Uonuma Institute of Community Medicine, Niigata University Medical and Dental Hospital, Uonuma Kikan Hospital, Minami-Uonuma, Japan
| | - Takehisa Hashimoto
- Department of Respiratory Surgery, Uonuma Institute of Community Medicine, Niigata University Medical and Dental Hospital, Uonuma Kikan Hospital, Minami-Uonuma, Japan
| | - Yo Sato
- Department of Digestive and General Surgery, Uonuma Institute of Community Medicine, Niigata University Medical and Dental Hospital, Uonuma Kikan Hospital, Minami-Uonuma, Japan
| | - Kenichiro Hirano
- Department of Digestive and General Surgery, Uonuma Institute of Community Medicine, Niigata University Medical and Dental Hospital, Uonuma Kikan Hospital, Minami-Uonuma, Japan
| | - Eiji Sunami
- Department of Digestive and General Surgery, Uonuma Institute of Community Medicine, Niigata University Medical and Dental Hospital, Uonuma Kikan Hospital, Minami-Uonuma, Japan
| | - Takeaki Matsuzawa
- Department of Digestive and General Surgery, Uonuma Institute of Community Medicine, Niigata University Medical and Dental Hospital, Uonuma Kikan Hospital, Minami-Uonuma, Japan
| | - Motoko Takahashi
- Department of Digestive and General Surgery, Uonuma Institute of Community Medicine, Niigata University Medical and Dental Hospital, Uonuma Kikan Hospital, Minami-Uonuma, Japan
| | - Hiroshi Ichikawa
- Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan
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