{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T02:33:48Z","timestamp":1792290828645,"version":"4.4.0"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We report a 55-year-old woman with bull gore trauma to the lower neck who developed dysphagia and airway compromise due to a retropharyngeal chyle collection. Imaging revealed a prevertebral fluid collection. Surgical drainage, which confirmed chyle, followed by thoracic duct ligation through video-assisted thoracoscopic surgery, was required due to a persistent high-output leak.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Thoracic duct injury at the cervicothoracic junction is an uncommon but serious complication of trauma. High suspicion, timely diagnosis, and surgical intervention ensure favorable outcomes especially in cases with isolated retropharyngeal collection without chylothorax.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00459","type":"journal-article","created":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T19:00:45Z","timestamp":1769194845000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Cervicothoracic Injury with Retropharyngeal Chyle Leak\u2014Diagnostic Dilemma and Management"],"prefix":"10.2106","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-8418-7483","authenticated-orcid":false,"given":"Nandhakumar","family":"Murugesan","sequence":"first","affiliation":[{"name":"Department of orthopaedics and traumatology, Meenakshi Mission Hospital and Research Centre, Madurai, Tamilnadu"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2930-5126","authenticated-orcid":false,"given":"Vetri","family":"Nallathambi","sequence":"additional","affiliation":[{"name":"Department of orthopaedics and traumatology, Meenakshi Mission Hospital and Research Centre, Madurai, Tamilnadu"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5869-4039","authenticated-orcid":false,"given":"Guna Pratheep","family":"Kalanchiam","sequence":"additional","affiliation":[{"name":"Department of orthopaedics and traumatology, Meenakshi Mission Hospital and Research Centre, Madurai, Tamilnadu"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-7956-2799","authenticated-orcid":false,"given":"Sathyanarayana","family":"Venkataramaiah","sequence":"additional","affiliation":[{"name":"Department of orthopaedics and traumatology, Meenakshi Mission Hospital and Research Centre, Madurai, Tamilnadu"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-9565-9517","authenticated-orcid":false,"given":"Chaitanya Laxman","family":"Kadam","sequence":"additional","affiliation":[{"name":"Department of orthopaedics and traumatology, Meenakshi Mission Hospital and Research Centre, Madurai, Tamilnadu"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1]]},"reference":[{"issue":"Suppl","key":"bib1-20260123","doi-asserted-by":"crossref","first-page":"2557","DOI":"10.1097\/00007632-199411001-00011","article-title":"Spinal disorders at the cervicothoracic junction","volume":"19","author":"An","year":"1994","journal-title":"Spine (Phila Pa 1976)."},{"issue":"5","key":"bib2-20260123","first-page":"566","article-title":"Penetrating injuries of the neck in patients in stable condition","volume":"225","author":"Demetriades","year":"1997","journal-title":"Ann 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duct","volume":"99","author":"Bisgard","year":"1934","journal-title":"Ann Surg."},{"issue":"5","key":"bib8-20260123","first-page":"807","article-title":"Cervical spine injuries at the cervicothoracic junction","volume":"19","author":"Wood","year":"1986","journal-title":"Neurosurgery."},{"issue":"3","key":"bib9-20260123","first-page":"861","article-title":"Airway obstruction caused by traumatic chylothorax and thoracic duct injury: case report","volume":"64","author":"Ma","year":"2008","journal-title":"J Trauma."},{"issue":"2","key":"bib10-20260123","doi-asserted-by":"crossref","first-page":"586","DOI":"10.1378\/chest.102.2.586","article-title":"The management of chylothorax","volume":"102","author":"Valentine","year":"1992","journal-title":"Chest."},{"issue":"2","key":"bib11-20260123","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1016\/j.ejcts.2007.04.024","article-title":"Aetiology and management of chylothorax in 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