Dung LV, Hien MM, Tra My TT, Luu DT, Linh LT, Duc NM. Cholecystitis-an uncommon complication following thoracic duct embolization for chylothorax: A case report. World J Clin Cases 2022; 10(24): 8775-8781 [PMID: 36157804 DOI: 10.12998/wjcc.v10.i24.8775]
Corresponding Author of This Article
Nguyen Minh Duc, MD, Department of Radiology, Faculty of Medicine Pham Ngoc Thach University of Medicine, 2 Duong Quang Trung, Ward 12, District 10, HCMC, Vietnam. bsnguyenminhduc@pnt.edu.vn
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Aug 26, 2022; 10(24): 8775-8781 Published online Aug 26, 2022. doi: 10.12998/wjcc.v10.i24.8775
Cholecystitis-an uncommon complication following thoracic duct embolization for chylothorax: A case report
Le Viet Dung, Ma Mai Hien, Thieu-Thi Tra My, Doan Tien Luu, Le Tuan Linh, Nguyen Minh Duc
Le Viet Dung, Ma Mai Hien, Thieu-Thi Tra My, Diagnostic Imaging and Interventional Radiology Center, Hanoi Medical University Hospital, Hanoi 100000, Vietnam
Doan Tien Luu, Le Tuan Linh, Department of Radiology, Hanoi Medical University, Hanoi 100000, Vietnam
Nguyen Minh Duc, Department of Radiology, Pham Ngoc Thach University of Medicine, Ho Chi Minh 700000, Vietnam
Author contributions: Dung LV, Hien MM, Luu DT, and Linh LT prepared the case file retrieval and case summary; Dung LV, Hien MM, and Duc NM designed the research; Dung LV, Hien MM, and Tra My TT performed the research; Dung LV and Duc NM wrote the paper; all authors read and approved the final manuscript.
Informed consent statement: Our institution does not require ethical approval for reporting individual cases or case series. Written informed consent was obtained from the patient for their anonymized information to be published in this article.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Nguyen Minh Duc, MD, Department of Radiology, Faculty of Medicine Pham Ngoc Thach University of Medicine, 2 Duong Quang Trung, Ward 12, District 10, HCMC, Vietnam. bsnguyenminhduc@pnt.edu.vn
Received: April 5, 2022 Peer-review started: April 5, 2022 First decision: June 16, 2022 Revised: June 16, 2022 Accepted: July 22, 2022 Article in press: July 22, 2022 Published online: August 26, 2022
Abstract
BACKGROUND
Chylothorax is an uncommon condition in which chyle leaks into the pleural cavity, and biliary peritonitis is a rare complication of thoracic duct embolization in clinical practice.
CASE SUMMARY
We describe the case of a 50-year-old woman who presented with chylothorax and underwent thoracic duct embolization using a coil and a mixture of histoacryl glue and lipiodol. The patient developed upper abdominal pain and fever after the intervention. She was diagnosed with biliary peritonitis and treated with cholecystectomy at Hanoi Medical University Hospital.
CONCLUSION
Although thoracic duct embolization is considered a safe and minimally invasive procedure, it is not without risk. Following thoracic duct embolization, severe or persistent abdominal pain should be explored utilizing imaging data and laboratory results to determine problems as soon as possible.
Core Tip: Chylothorax is a condition in which chyle leaks into the pleural cavity. Trauma, spontaneous (non-traumatic), and idiopathic etiologies are all potential causes of chylothorax. In clinical practice, biliary peritonitis is an uncommon consequence of thoracic duct embolization. Despite its reputation as a safe and minimally intrusive technique, thoracic duct embolization is not without hazard. Severe or chronic abdominal discomfort should be investigated as soon as possible after thoracic duct embolization, using imaging data and laboratory results to identify issues.
