Cholecystitis-an uncommon complication following thoracic duct embolization for chylothorax: A case report

doi:10.12998/wjcc.v10.i24.8775

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World Journal of Clinical Cases

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Case Report

World J Clin Cases. Aug 26, 2022; 10(24): 8775-8781
Published online Aug 26, 2022. doi: 10.12998/wjcc.v10.i24.8775

Cholecystitis-an uncommon complication following thoracic duct embolization for chylothorax: A case report

Le Viet Dung, Ma Mai Hien, Thieu-Thi Tra My, Doan Tien Luu, Le Tuan Linh, Nguyen Minh Duc

Le Viet Dung, Ma Mai Hien, Thieu-Thi Tra My, Diagnostic Imaging and Interventional Radiology Center, Hanoi Medical University Hospital, Hanoi 100000, Vietnam

Doan Tien Luu, Le Tuan Linh, Department of Radiology, Hanoi Medical University, Hanoi 100000, Vietnam

Nguyen Minh Duc, Department of Radiology, Pham Ngoc Thach University of Medicine, Ho Chi Minh 700000, Vietnam

Author contributions: Dung LV, Hien MM, Luu DT, and Linh LT prepared the case file retrieval and case summary; Dung LV, Hien MM, and Duc NM designed the research; Dung LV, Hien MM, and Tra My TT performed the research; Dung LV and Duc NM wrote the paper; all authors read and approved the final manuscript.

Informed consent statement: Our institution does not require ethical approval for reporting individual cases or case series. Written informed consent was obtained from the patient for their anonymized information to be published in this article.

Conflict-of-interest statement: The authors declare that they have no conflicts of interest.

CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).

Corresponding author: Nguyen Minh Duc, MD, Department of Radiology, Faculty of Medicine Pham Ngoc Thach University of Medicine, 2 Duong Quang Trung, Ward 12, District 10, HCMC, Vietnam. bsnguyenminhduc@pnt.edu.vn

Received: April 5, 2022
Peer-review started: April 5, 2022
First decision: June 16, 2022
Revised: June 16, 2022
Accepted: July 22, 2022
Article in press: July 22, 2022
Published online: August 26, 2022
Processing time: 132 Days and 21.3 Hours

Abstract

BACKGROUND

Chylothorax is an uncommon condition in which chyle leaks into the pleural cavity, and biliary peritonitis is a rare complication of thoracic duct embolization in clinical practice.

CASE SUMMARY

We describe the case of a 50-year-old woman who presented with chylothorax and underwent thoracic duct embolization using a coil and a mixture of histoacryl glue and lipiodol. The patient developed upper abdominal pain and fever after the intervention. She was diagnosed with biliary peritonitis and treated with cholecystectomy at Hanoi Medical University Hospital.

CONCLUSION

Although thoracic duct embolization is considered a safe and minimally invasive procedure, it is not without risk. Following thoracic duct embolization, severe or persistent abdominal pain should be explored utilizing imaging data and laboratory results to determine problems as soon as possible.

Keywords: Lymphangiography; Thoracic duct embolization; Cholecystitis; Chyle leakage; Biliary peritonitis; Case report

Core Tip: Chylothorax is a condition in which chyle leaks into the pleural cavity. Trauma, spontaneous (non-traumatic), and idiopathic etiologies are all potential causes of chylothorax. In clinical practice, biliary peritonitis is an uncommon consequence of thoracic duct embolization. Despite its reputation as a safe and minimally intrusive technique, thoracic duct embolization is not without hazard. Severe or chronic abdominal discomfort should be investigated as soon as possible after thoracic duct embolization, using imaging data and laboratory results to identify issues.