Chyle Leak after a Simple Hemithyroidectomy: An Extremely Rare Situation
Author(s) -
Adi Syazni Muhammed,
Shahrun Niza Abdullah Suhaimi,
Suraya Othman,
Nor Faezan Abdul Rashid,
M Rohaizak
Publication year - 2020
Publication title -
iium medical journal malaysia
Language(s) - English
Resource type - Journals
eISSN - 2735-2285
pISSN - 1823-4631
DOI - 10.31436/imjm.v18i3.207
Subject(s) - chyle , medicine , leak , neck dissection , surgery , complication , dissection (medical) , thyroidectomy , thyroid , carcinoma , environmental engineering , engineering
Chyle leak is a well-known complication that can occur after a thyroidectomy with neck dissection; however, it rarely occurs after thyroidectomy alone. Here, we report a case of chyle leak following a left hemithyroidectomy for a benign solitary thyroid nodule. Based on the literature search, this is only the second reported case of a chyle leak after a simple hemithyroidectomy without any central or lateral neck dissection. Amongst the possible causes, we hypothesize that the use of intraoperative nerve monitor may be a contributing factor. Treatment options are explored and the patient was treated successfully with nonoperative management.
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