BACKGROUND: Chyle fistula is one of the rare complications of neck dissections. Even though no consented algorithm for the management of this entity has been established yet, conservative treatment options including somatostatin analogues have been suggested as an adequate modality for low output fistulas. CASE REPORT: Here we present a patient with a right-sided neck fistula which was resistant to conventional treatment, and was finally treated by surgery. The neck dissection was performed for a malignant right neck mass that was accepted as the lymph node metastasis of formerly treated papillary thyroid carcinoma. The pathology of the specimen revealed a contralateral neck metastasis of previously treated breast carcinoma. CONCLUSION: We assume that consecutive surgeries on axillary and neck lymph pathways resulted in such a complicated and exceptional case.
BACKGROUND: Chyle fistula is one of the rare complications of neck dissections. Even though no consented algorithm for the management of this entity has been established yet, conservative treatment options including somatostatin analogues have been suggested as an adequate modality for low output fistulas. CASE REPORT: Here we present a patient with a right-sided neck fistula which was resistant to conventional treatment, and was finally treated by surgery. The neck dissection was performed for a malignant right neck mass that was accepted as the lymph node metastasis of formerly treated papillary thyroid carcinoma. The pathology of the specimen revealed a contralateral neck metastasis of previously treated breast carcinoma. CONCLUSION: We assume that consecutive surgeries on axillary and neck lymph pathways resulted in such a complicated and exceptional case.
Authors: Gurston G Nyquist; Abdulrahman Hagr; Steven E Sobol; Michael P Hier; Martin J Black Journal: Otolaryngol Head Neck Surg Date: 2003-06 Impact factor: 5.591