Percutaneous Embolization of Thoracic Duct Injury after Esophagectomy

The development of a chylothorax after an esophagectomy, which occurs after iatrogenic injury of the thoracic duct, is a relatively rare but potentially lethal complication. The management of this type of complication is mainly with conservative management and if no optimal response, surgery is indicate. Surgery has high rates of morbidity band also mortality, that is why minimally invasive management, percutaneous embolization, seems to be an interesting alternative. We present a case of thoracic duct leak after minimally invasive esophagectomy. The leak was firstly managed with conservative approach with partial response, so we decided to do a percutaneous embolization with an optimal outcome.