Injuries of ductus thoracicus

І. D.  Duzhyi; O. M.  Lytvynenko; S. О.  Holubnichyi; О. L.  Sytnik; V. Ya.  Pak; І. А.  Symonenko

doi:10.26779/2522-1396.2020.7-8.20

І. D. Duzhyi Меdical Institute of Sumy State University https://orcid.org/0000-0002-4995-0096
O. M. Lytvynenko Меdical Institute of Sumy State University https://orcid.org/0000-0003-0806-5047
S. О. Holubnichyi Меdical Institute of Sumy State University
О. L. Sytnik Меdical Institute of Sumy State University https://orcid.org/0000-0001-6855-2467
V. Ya. Pak Меdical Institute of Sumy State University https://orcid.org/0000-0002-2124-320X
І. А. Symonenko Меdical Institute of Sumy State University https://orcid.org/0000-0002-6518-7465

DOI: https://doi.org/10.26779/2522-1396.2020.7-8.20

Keywords: trauma of ductus thoracicus; chylothorax; treatment.

Abstract

Objective. To study peculiarities of course and diagnosis of traumatic and spontaneous injuries of ductus thoracicus.

Маterials and methods. Ten patients, suffering chylothorax, were observed and examined, using thoracoscopy, аnd exudate - using test with sudan ІІІ.

Results. In 6 patients the injuries of ductus thoracicus were revealed: in 1 patient - direct, in 1 - iatrogenic, and in 4 - spontaneous. In 4 patients chylothorax presented a symptom of other diseases.

Conclusion. Diagnostic-treatment tactics, if the ductus thoracic injury and presence of chylothorax are suspected, ought to be following: analysis of anamnesis - pleural puncture - exudate aspiration - investigation, directed on identification of the malignant tumor cells and mycobacteria of tuberculosis - test with sudan ІІІ - thoracoscopy - pleurobiopsy - histological investigation - final diagnosis - specialized treatment (оperative-conservative).

Author Biographies

І. D. Duzhyi, Меdical Institute of Sumy State University

Duzhyi Igor, MD, DSci, Professor,
Head of the Department of Surgery, traumatology, orthopedics and phthisiology
Sumy State University, Ukraine.
48 Troitska str., 40000, Sumy, Ukraine
+380990081259
gensurgery@med.sumdu.edu.ua
orcid.org/0000-0002-4995-0096

O. M. Lytvynenko, Меdical Institute of Sumy State University

Lytvynenko Oleksandr M., MD, DSci(Med)
Professor of the Department of Surgery, traumatology, orthopedics and phthisiology
Sumy State University, Ukraine.
48 Troitska str., 40000, Sumy, Ukraine
omlytvynenko@gmail.com
orcid.org/0000-0003-0806-5047

S. О. Holubnichyi, Меdical Institute of Sumy State University

Holubnichyi Stanislav, MD, PhD. Assistant Professor
Department of Surgery, traumatology, orthopedics and phthisiology.
Sumy State University, Ukraine.
48 Troitska str., 4000, Sumy, Ukraine,
+380509265854,
s.holubnychyi@med.sumdu.edu.ua
https://orcid.org/0000-0002-4965-011

О. L. Sytnik, Меdical Institute of Sumy State University

Sytnik Oleksandr, PhD, Associate Professor,
Department of surgery, traumatology, orthopedics, phthisiology,
Sumy State University, Ukraine.
2 M. Vovchok str., 40007, Sumy, Ukraine
+380509380146
a.sytnik@med.sumdu.edu.ua
https://orcid.org/0000-0001-6855-2467

V. Ya. Pak, Меdical Institute of Sumy State University

Pak Vasyl, MD, PhD, Associate Professor
Department of surgery, traumatology, orthopedics, phthisiology,
Sumy State University, Ukraine.
2 M. Vovchok str., 40007, Sumy, Ukraine
+380501306399
v.pak@med.sumdu.edu.ua
https://orcid.org/0000-0002-2124-320X

І. А. Symonenko, Меdical Institute of Sumy State University

Symonenko Iryna, student
Medical Institute, Sumy State University, Ukraine.
1/53 Zalivnaya str, 40035, Sumy, Ukraine
+380959302918
irina_simonenko@i.ua
https://orcid.org/0000-0002-6518-7465

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