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.

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0citing papers in PubMed

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1 · What the graph read from it

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0 citing papers in PubMed.

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4 · The record

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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

DOI10.1016/j.radcr.2025.11.025

PMCPMC12765380

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LicenceCC BY-NC-ND

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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.