Breaking new ground: penetrating trauma and cisterna chyli injury: a case report.

Nawaf AlShahwan, Saleh Husam Aldeligan, Mohammed Basem Bayari, Ahmed Alburakan, Hassan Mashbari, Thamer Nouh

Abstract readCase Reports

In one paragraph

Article in Journal of surgical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Nawaf AlShahwanTrauma and Acute Care Surgery Unit, Department of Surgery, College of Medicine, King Saud University, PO Box 2925, Riyadh 11461, Saudi Arabia.

Saleh Husam AldeliganCollege of Medicine, King Saud University, PO Box 2925, Riyadh 11461, Saudi Arabia.

Mohammed Basem BayariCollege of Medicine, King Saud University, PO Box 2925, Riyadh 11461, Saudi Arabia.

Ahmed AlburakanTrauma and Acute Care Surgery Unit, Department of Surgery, College of Medicine, King Saud University, PO Box 2925, Riyadh 11461, Saudi Arabia.

Hassan MashbariDepartment of Surgery, Faculty of Medicine, Jazan University, PO Box 6809, Jazan 82817-28204, Saudi Arabia.

Thamer NouhTrauma and Acute Care Surgery Unit, Department of Surgery, College of Medicine, King Saud University, PO Box 2925, Riyadh 11461, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Here we discuss a rare case of cisterna chyli injury resulting from penetrating trauma, with no prior reported cases in the literature related to such injuries caused by penetrating trauma. The patient, a 21-year-old male, presented with multiple stab wounds, prompting exploratory laparotomy. Penetrating wounds to the stomach and a pancreatic laceration with retroperitoneal hematoma were identified. Notably, chyle leakage from the cisterna chyli was managed by clipping lymphatic branches. The paper emphasizes the importance of intraoperative identification and control of chyle leaks, as they can impact nutritional status and wound healing. Various maneuvers, including intraoperative indocyanine green lymphangiography and postoperative monitoring of drain output, are discussed for detecting and managing chyle leaks. The patient's postoperative course was uneventful, highlighting successful management and discharge on Day 11 in good health.

Indexed as

chyle leakcisterna chylipenetrating traumatrauma surgerytraumatic injury

Identifiers

PMID40051802

DOI10.1093/jscr/rjaf093

PMCPMC11881686

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LicenceCC BY

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.