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With Almost 30 Hrs Of Thoracic Out Let Surgeries 2012

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Posted on Fri, 17 May 2019
Question: with almost 30 hrs of thoracic out let surgeries 2012 1013 the L thoracic duct was cut under jugular leaking into subclavian vein. After a 13 hr surgery two days later returned to surgery with chyle leak they sutured w/ 3 sutures. Now a healthy weight with deep nerve block w/ neurologist traveling to see next week in XXXXXXX XXXXXXX for 8 days after briefly on my knees to pull a few weeds I have had severe swelling of upper L leg and knee painful and dimpled and ubic area painful too... could there be a leak this long after ? both knees are hurting slight swelling on r bu t L far worse feet are starting to swell an ankle. I have had issues with my eating keeping my nutrition up and a auto immune concern is being discussed... I am really wondering if a lymph leak from original thoracic duct injured....
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Follow up: Dr. Hari Charan Perigela (3 minutes later)
I don't see an answer and as complicated as this is, can i get a helpful answer. i'm very concerned
doctor
Answered by Dr. Hari Charan Perigela (1 hour later)
Brief Answer:
You should be investigated

Detailed Answer:
Hi
Swelling of lower limbs can be due to many causes like Lymphoedema, Cellulitis,Deep Vein Thrombosis etc
As you had surgery previously for Chyle leak,we cannot confirm it to be the cause now.
Unless investigated,we cannot come to a Kidney disease,Liver disease and Heart problems can also cause Edema.
Ultrasound of the Lower limbs and Abdomen will give a clue. Colour Doppler will exclude Deep vein thrombosis of the lower limbs.
Chances of leak is a remote possibility.
Nothing to worry.
Please consult your doctor and proceed further.
Hope I answered your query If you have any questions,I will clarify further.
Wish you good health
Regards
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
Answered by
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Dr. Hari Charan Perigela

General Surgeon

Practicing since :1995

Answered : 2716 Questions

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With Almost 30 Hrs Of Thoracic Out Let Surgeries 2012

I don't see an answer and as complicated as this is, can i get a helpful answer. i'm very concerned