Evidence map›Paper›PMID 41492348›Full record

ArticleRadiology case reports2026

Minimally invasive radiologic approach to chyle leakage after oncologic cervical surgery: A case report.

Adriele Silva, Natália Abrahão, Valmir Junior, Túlio Fabiano de Oliveira Leite

Abstract readCase Reports
In one paragraph

Article in Radiology case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

Who cites it

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

4 authors.

Adriele SilvaPGY-3, Department of Otorhinolaryngology, Uberlandia Medical Center, Uberlandia, Minas Gerais, Brazil.
Natália AbrahãoPGY-3, Department of Otorhinolaryngology, Uberlandia Medical Center, Uberlandia, Minas Gerais, Brazil.
Valmir JuniorDepartment of Otorhinolaryngology - Head & Neck Surgery, Uberlandia Medical Center, Uberlandia, Minas Gerais, Brazil.
Túlio Fabiano de Oliveira LeiteInterventional Radiology, University of São Paulo, São Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 63-year-old male smoker developed a refractory cervical chylous fistula following neck surgery for metastatic squamous cell carcinoma. Despite conservative management with a low-fat diet and subsequent surgical thoracic duct ligation, high-output chyle drainage persisted. On postoperative day 14, percutaneous thoracic duct embolization with lipiodol and n-BCA was successfully performed, resulting in immediate and sustained resolution of the leakage. The patient was discharged 48 hours later without recurrence. This case highlights thoracic duct embolization as a safe, minimally invasive, and highly effective therapeutic option for managing persistent cervical chylous fistulas when conventional treatments fail. The novelty of this report lies in demonstrating that timely image-guided embolization can provide definitive resolution even in severe, surgery-resistant cases, underscoring its growing role as a first-line intervention in selected patients.

Indexed as

Chylous fistulaHead and neck surgeryMinimally invasive radiological approachOncologyThoracic duct embolization

Identifiers

PMID41492348
PMCPMC12765380

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.