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 Table of Contents  
IMAGES IN CARDIOTHORACIC TRAUMA
Year : 2020  |  Volume : 5  |  Issue : 1  |  Page : 39

Thoracic duct injury after gunshot wound of the chest


1 Cardiothoracic Surgeon at Hospital de Traumatología “Victorio de la Fuente Narváez” Instituto Mexicano del Seguro Social, Mexico City, Mexico
2 General Surgery Resident at Nuevo Sanatorio Durango, Mexico City, Mexico
3 General Surgery Resident at Centro Médico Nacional la Raza, Mexico City, Mexico

Date of Web Publication24-Dec-2020

Correspondence Address:
José Luis Ruiz Pier
Cardiothoracic Surgeon at Hospital de Traumatología “Victorio de la Fuente Narváez” Instituto Mexicano del Seguro Social, Mexico City
Mexico
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jctt.jctt_9_20

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How to cite this article:
Ruiz Pier JL, Jesús SJ, Salvador MG. Thoracic duct injury after gunshot wound of the chest. J Cardiothorac Trauma 2020;5:39

How to cite this URL:
Ruiz Pier JL, Jesús SJ, Salvador MG. Thoracic duct injury after gunshot wound of the chest. J Cardiothorac Trauma [serial online] 2020 [cited 2021 Jan 21];5:39. Available from: https://www.jctt.org/text.asp?2020/5/1/39/304871



A 42-year-old female patient with a gunshot wound of 1.5 cm located in the left posterior axillary line of the 8th intercostal space and another wound in the right anterior axillary line of the 8th intercostal space. The patient was in profound shock, peritoneal irritation, and bilateral hemopneumothorax. Laparotomy showed hemoperitoneum, a grade II hepatic lesion and a diaphragmatic rupture. These lesions were repaired. The chest tube drainage was milky; therefore, the initial management was nothing by the mouth, total parenteral nutrition, and octreotide, but the drainage did not diminish and the patient went for surgical exploration and ligature of the thoracic duct [Figure 1],[Figure 2],[Figure 3]. The patient postoperative course was satisfactory. Nutrition by mouth instituted at the 4th day, the chest tubes were removed at the 5th postoperative day, and the patient was discharged home after a hospital stay of 30 days.
Figure 1: A surgical view depicting the right hemithorax and encircled the location of the thoracic duct rupture with chylous leakage

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Figure 2: A surgical site view, exposing the thoracic duct, and the orifice

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Figure 3: Surgical site view with ligated thoracic duct

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    Figures

  [Figure 1], [Figure 2], [Figure 3]



 

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