A case of successful octreotide treatment for chylous leakage after neck surgery

Abstract

We report a case in which octreotide treatment was found to be beneficial to arrest chylous fluid leakage after neck surgery. A 68-year-old woman with neck bronchogenic cyst underwent surgical resection. After the second postoperative day （POD）, a large quantity of chylous fluid was found in the drainage tube. We chose a method of intravenous hyperalimentation feeding and abstinence from food until the seventh POD, but the chylous fluid leakage did not decrease, so we started to administer octreotide. Three days later, the chylous leakage significantly decreased in quantity, and then ceased completely.