PMC4802334_01
A: Neck CT: a poorly contrasted 3 cm-diameter mass was noted in the left lobe of the thyroid. B: Neck CT: left deep cervical lymphadenopathy was noted. C: Neck CT: left supraclavicular lymphadenopathy was noted.
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The CT showed a 3-cm-sized poorly contrasted region in the left lobe of the thyroid gland with lymphadenopathy of the left supraclavicular lymph nodes (Fig. 1A-C).
Chest X-ray: an image from Day 4 post-surgery revealed bilateral chylothorax.
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A chest X-ray revealed bilateral pleural effusions, and when the thoracic cavity was drained bilaterally, a total of 1400 mL of chylous drainage was suctioned off (Fig. 2).
Chest X-ray: an image from Day 15 post-surgery showed no signs of chylothorax.
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The day after the drug was started, drainage volume decreased to 110 mL/day on Day 3 of administration, and no effusion was collected at all by Day 9 (Fig. 3).
Changes in daily chyle drainage over time. After administration of octreotide, chylous drainage decreased markedly.
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Even after restarting oral alimentation, chylothorax did not recur, and the patient was discharged on Day 20 post-surgery (Fig. 4).