Menu
Menu
19 Harley St, London, W1G 9QJ, UK

A case of a traumatic chyle leak following an acute thoracic spine injury: successful resolution with strict dietary manipulation

BACKGROUND: Chylothorax is a rare form of pleural effusion that can be associated with both traumatic and non-traumatic causes. Thoracic duct ligation is often the treatment of choice in postsurgical patients; however the optimal treatment of this disease process after traumatic injury remains unclear 1. We present a rare case of a thoracic duct injury secondary to a blunt thoracic spine fracture and subluxation which was successfully treated non-operatively. CASE PRESENTATION: A 51 year old male presented as a tier one trauma code due to an automobile versus bicycle collision. His examination and radiographic work-up revealed fractures and a subluxation at the third and fourth thoracic spine levels resulting in paraplegia. He also sustained bilateral hemothoraces secondary to multiple rib fractures. Drainage of the left hemothorax led to the diagnosis of a traumatic chylothorax. The thoracic spine fractures were addressed with surgical stabilization and the chylothorax was successfully treated with drainage and dietary manipulation. CONCLUSIONS: This unusual and complex blunt thoracic duct injury required a multidisciplinary approach. Although the spine injury required surgical fixation, successful resolution of the chyle leak was achieved without surgical intervention

Keywords : California,diagnosis,injuries,Male,Spine,surgery,Thoracic Duct,, Traumatic,Chyle, pelvic pain specialist london

Date of Publication : 2011 Mar 28

Authors : Pakula AM;Phillips W;Skinner RA;

Organisation : Department of Surgery, Division of Trauma and Surgical Critical Care, Kern Medical Center, Bakersfield, CaliforniaDepartment of Nutrition and Dietary Services, Kern Medical Center, Bakersfield, CaliforniaDepartment of Surgery, Division of Trauma and Surgical Critical Care, Kern Medical Center, Bakersfield, California

Journal of Publication : World J Emerg Surg

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/21443785

The London Spine Unit : Harley Street UK. Specialists in Cutting Edge Technologies for Spinal Surgery

Make an Appointment 

Trustpilot Reviews
Doctify Reviews
Top Doctor Reviews

A case of a traumatic chyle leak following an acute thoracic spine injury successful resolution with strict dietary manipulation | Gluteus minimus spasm

What our patients say ...

Consultant Spinal Surgeon
Consultant Spinal Surgeon
Consultant Spinal Surgeon
Consultant Spinal Surgeon
Consultant Spinal Surgeon
Consultant Spinal Anaesthetist

This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus

Laser Disc Surgery can be performed under local anaesthetic as a day case at our centre on the prestigious Harley Street.
What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

treatment of all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810