Case Reports in Surgery (Jan 2016)

Chylous Fistula following Axillary Lymphadenectomy: Benefit of Octreotide Treatment

  • Elena González-Sánchez-Migallón,
  • José Aguilar-Jiménez,
  • José Andrés García-Marín,
  • José Luis Aguayo-Albasini

DOI
https://doi.org/10.1155/2016/6098019
Journal volume & issue
Vol. 2016

Abstract

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Chyle leak following axillary lymph node clearance is a rare yet important complication. The treatment of postoperative chyle fistula still remains unclear. Conservative management is the first line of treatment. It includes axillary drains on continuous suction, pressure dressings, bed rest, and nutritional modifications. The use of somatostatin analogue is well documented as a treatment for chylous fistulas after neck surgery. We present a case of chylous fistula after axillary surgery resolved with the use of octreotide.