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Published on October 22, 2009
Interactive CardioVascular and Thoracic Surgery 2009, doi:10.1510/icvts.2009.216861
© 2009 European Association of Cardio-Thoracic Surgery
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Right arrow Mediastinum

Thoracic non-oncologic

Large mediastinal thoracic duct cyst

Michele De Santis 1*, Vitoria Martins 1, Ana Luisa Fonseca 1, Orlando Santos 2

1 Centro Hospitalar de Coimbra, Portugal
2 Centro Hospitalar de Torres Novas, Portugal

* To whom correspondence should be addressed. E-mail: iperpicchio76{at}hotmail.com.


  Abstract
Thoracic duct cysts of the mediastinum are extremely rare. The etiology is related to a congenital or degenerative weakness in the wall of the thoracic duct. Symptoms may arise from compression of adjacent structures. Surgical resection is recommended and allows a definitive histological diagnosis. Postoperative chylothorax is the most frequent complication. We describe a 30-year-old female who presented to us with a history of dry cough and hiccups within the last 4 months. Keywords: Cyst; Thoracic duct; Mediastinum; Chylothorax


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eComment. Supradiaphragmatic ligation of the thoracic duct for prevention of postoperative chylothorax
Nikolaos Barbetakis, et al.
ICVTS Online, 18 Nov 2009 [Full text]

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