We report a novel application of targeted sclerotherapy to childrens backpacks eradicate high-output chylothorax.The patient underwent thoracic duct embolization; however, cannulation of the thoracic duct failed, and thoracic duct disruption was performed.Leakage continued; therefore, the leakage site in the mediastinum was punctured directly under fluoroscopic guidance and a drainage catheter was inserted, followed by sclerotherapy using OK-432.
Finally, leakage stopped and chylothorax improved.This U-Base Acrylic LED Night Light technique may be useful for refractory chylothorax in patients where thoracic duct embolization fails.