Duktus Torasikus Yaralanmaları

Abdullah Güner

doi:10.37609/akya.3473

Yazarlar

Abdullah Güner

https://orcid.org/0000-0002-5528-8270

DOI: https://doi.org/10.37609/akya.3473.c11091

Özet

Duktus torasikus yaralanmaları, genellikle travmatik olaylar sonucu meydana gelir ve çoğunlukla iyatrojeniktir. Bu yaralanmaların sonucu olarak şilotoraks gelişebilir; bu, lenfatik sıvının plevral boşlukta birikmesidir. Şilotoraks genellikle cerrahi veya travma sonrası görülür ve nadiren spontan olarak gelişir. Klinik belirtiler arasında nefes darlığı ve hipovolemi yer alabilir. Tanı için şilotoraksın sıvı analizi ve görüntüleme yöntemleri, özellikle lenfanjiografi önemlidir. Konservatif tedavi, torasentez ve düşük yağlı beslenme gibi yöntemlerle şilotoraksın iyileşmesine yardımcı olabilir. Başarısız konservatif tedavi durumunda, lenfanjiografi, duktus torasikus embolizasyonu veya ligasyonu gibi cerrahi müdahaleler gerekebilir. Duktus torasikus yaralanmaları nadir olup, şilotoraks tedavi edilmezse ölüm oranı yüksektir. Tedavi, yaralanmanın büyüklüğüne ve gelişen komplikasyonlara göre şekillenir.

Injuries to the ductus thoracicus usually occur as a result of traumatic events and are mostly iatrogenic. As a result of these injuries, chylothorax may develop; this is the accumulation of lymphatic fluid in the pleural space. Chylothorax is usually seen after surgery or trauma and rarely develops spontaneously. Clinical signs may include dyspnoea and hypovolaemia. Fluid analysis of the chylothorax and imaging modalities, especially lymphangiography, are important for the diagnosis. Conservative treatment may help to heal the chylothorax with methods such as thoracentesis and low-fat diet. In case of unsuccessful conservative treatment, surgical interventions such as lymphangiography, embolisation or ligation of the ductus thoracicus may be required. Injuries to the ductus thoracicus are rare and have a high mortality rate if the chylothorax is not treated. Treatment is shaped according to the size of the injury and the complications that develop.

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