A Unique Case of Recurrent Thoracic Duct Rupture: A Case Study.

Introduction: Thoracic duct rupture is an uncommon presentation and usually occurs through trauma or surgery. Case presentation: Here, we present an entirely unique case of recurrent spontaneous thoracic duct rupture in a 34-year-old woman who had three separate episodes of thoracic duct rupture. The first two episodes appear to have been caused by a spontaneous internal jugular vein (IJV) thrombosis whereas the final had no demonstrable cause. The initial presentation was with neck swelling, the second with chylothorax. Management and outcome: This patient was treated with rivaroxaban for the IJV thrombosis while her chylothorax was treated conservatively. Discussion: This case serves as a learning pearl to consider thoracic duct rupture in patients with neck swellings even without apparent traumatic or iatrogenic cause. It also brings to light the idea of previous insults weakening thoracic duct rupture and predisposing patients to recurrent issues. [ABSTRACT FROM AUTHOR]