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Case Reports in Surgery
Volume 2016, Article ID 6098019, 3 pages
http://dx.doi.org/10.1155/2016/6098019
Case Report

Chylous Fistula following Axillary Lymphadenectomy: Benefit of Octreotide Treatment

1General Surgery Department, Morales Meseguer University Hospital, Mare Nostrum International Excellence Campus, Murcia University, 30008 Murcia, Spain
2Servicio de Cirugía General del Hospital General Universitario “JM Morales Meseguer”, Avenida Marqués de los Vélez s/n, 30008 Murcia, Spain

Received 5 November 2015; Accepted 6 January 2016

Academic Editor: Dimitrios Mantas

Copyright © 2016 Elena González-Sánchez-Migallón et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.