CTICasesIatrogenic chylothorax post-thyroidectomy
Imaging findings
CT shows massive, bilateral pleural effusions following thyroid surgery. Triglycerides and cholesterol were elevated in the fluid. Lymphangiography confirmed a thoracic duct leak, managed by coil embolization.
Key takeaways
Bilateral chylothorax is a rare complication of thyroidectomy, caused by injury to the thoracic duct in the lower neck. Diagnostic lymphangiography followed by percutaneous thoracic duct embolization is highly effective.
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