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Chylous-Related Complications Following Surgical Management of Clavicular Fractures

A Report of Two Cases

Downey, Colum, BMBS, BSc, MSc, MRCS1,a; O’Neill, Damien, MB BCh BAO, MMedSC, MRCS, FFR1; Lee, Michael, MB, MSc, FRCPI, FRCR, FFR (RCSI), FSIR, EBIR1; Donnelly, Michael, MB BCh BAO, MCh, FRCSI(T&O)1; Mullett, Hannan, MB BCh BAO, MFSEM, FRCSI(T&O)1

doi: 10.2106/JBJS.CC.17.00260
Case Reports
Disclosures

Case: We treated 2 patients with chylous-related complications following open reduction and internal fixation (ORIF) of the clavicle. These complications were of unknown etiology; 1 was treated with percutaneous injection of a sclerosing agent, while the other was treated with ligation of the thoracic duct.

Conclusion: A chyle leak is more commonly seen with upper gastrointestinal, thoracic, and head and neck surgery. This complication potentially carries a substantial rate of morbidity. We report the successful management of 2 patients with difficult postoperative chylous-related complications following ORIF of the clavicle.

1Departments of Orthopaedics (C.D., M.D., and H.M.), and Radiology (D.O’N. and M.L.), Beaumont Hospital, Dublin, Ireland

aE-mail address for C. Downey: columdowney@rcsi.ie

Copyright © 2018 by The Journal of Bone and Joint Surgery, Incorporated
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