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Thoracic Duct Tear
Carol C. Wu, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Definitions

              • Thoracic duct: Transports chyle from intestinal lacteals; typically drains into left subclavian vein
              • Thoracic duct tear: Thoracic duct disruption
                • Cervical chylous fistula, chylothorax, chylopericardium, chylous ascites

            IMAGING

            • General Features

              • Radiographic Findings

                • CT Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Gross Pathologic & Surgical Features

                          • Microscopic Features

                            CLINICAL ISSUES

                            • Presentation

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Consider

                                    Selected References

                                    1. Euathrongchit J et al: Nonvascular mediastinal trauma. Radiol Clin North Am. 44(2):251-8, viii, 2006
                                    2. Kumar S et al: Thoracoscopic management of thoracic duct injury: Is there a place for conservatism? J Postgrad Med. 50(1):57-9, 2004
                                    3. Patten RM et al: Isolated traumatic rupture of the cisterna chyli: CT diagnosis. J Comput Assist Tomogr. 23(5):701-2, 1999
                                    4. Sachs PB et al: Diagnosis and localization of laceration of the thoracic duct: usefulness of lymphangiography and CT. AJR Am J Roentgenol. 157(4):703-5, 1991
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Terminology

                                      • Imaging

                                        • Top Differential Diagnoses

                                          • Pathology

                                            • Clinical Issues

                                              TERMINOLOGY

                                              • Definitions

                                                • Thoracic duct: Transports chyle from intestinal lacteals; typically drains into left subclavian vein
                                                • Thoracic duct tear: Thoracic duct disruption
                                                  • Cervical chylous fistula, chylothorax, chylopericardium, chylous ascites

                                              IMAGING

                                              • General Features

                                                • Radiographic Findings

                                                  • CT Findings

                                                    • Imaging Recommendations

                                                      DIFFERENTIAL DIAGNOSIS

                                                        PATHOLOGY

                                                        • General Features

                                                          • Gross Pathologic & Surgical Features

                                                            • Microscopic Features

                                                              CLINICAL ISSUES

                                                              • Presentation

                                                                • Natural History & Prognosis

                                                                  • Treatment

                                                                    DIAGNOSTIC CHECKLIST

                                                                    • Consider

                                                                      Selected References

                                                                      1. Euathrongchit J et al: Nonvascular mediastinal trauma. Radiol Clin North Am. 44(2):251-8, viii, 2006
                                                                      2. Kumar S et al: Thoracoscopic management of thoracic duct injury: Is there a place for conservatism? J Postgrad Med. 50(1):57-9, 2004
                                                                      3. Patten RM et al: Isolated traumatic rupture of the cisterna chyli: CT diagnosis. J Comput Assist Tomogr. 23(5):701-2, 1999
                                                                      4. Sachs PB et al: Diagnosis and localization of laceration of the thoracic duct: usefulness of lymphangiography and CT. AJR Am J Roentgenol. 157(4):703-5, 1991