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Medicina Legal de Costa Rica

On-line version ISSN 2215-5287Print version ISSN 1409-0015


BRENES LENERO, E; MURILLO CECILIANO, M  and  MORA SEGURA, E. Manejo conservador de una fistula de quilo por diseción radical de cuello: reporte de un caso y revisión de la literatura. Med. leg. Costa Rica [online]. 2015, vol.32, n.2, pp.189-192. ISSN 2215-5287.

We describe the case of a 59-year-old male patient with a diagnosis of medullar thyroid carcinoma with affection of a cervical lymph node surgically managed with total thyroidectomy and bilateral radical neck dissection. It was diagnosed with a thoracic duct fistula. A conservative management with a strict diet of proteins enriched with medium chain triglycerides was performed in a successful way. Because of the case a review of the literature was performed.

Keywords : Chyle fistula; chylesrage; thoracic dect; neck dissection; complications.

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