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Evoking Chyle Production to Facilitate Cervical Catheterization and Embolization of Injured Thoracic Duct: Case Report

Adel Ahmed*, Laila Qadan, Muhammad Shozab Ahmed

Iatrogenic Thoracic Duct (TD) injury is a serious complication of neck surgery. TD embolization after Intranodal Lymphangiography (INL) has been reported to be safe and successful. Retrograde catheterization of the TD through a cervical lymphocyte without using INL could be challenging due to difficult visualization of the TD. The authors describe a method to increase the turgor of the TD thus facilitate its visualization and cannulation by evoking chyle production using high fat diet in combination with a closed drainage system. The method proved to be practical and safe.