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CC BY-NC-ND 4.0 · The Arab Journal of Interventional Radiology 2021; 5(01): 045-047
DOI: 10.1055/s-0041-1730116
Case Report

Percutaneous Transhepatic and Translumbar Sclerotherapy of a Thoracic Duct Cyst: A Case Report

Ibrahim Alrashidi
1   Department of Radiology, University of Ulsan, College of Medicine Asan Medical Center, Songpa-gu, Seoul, Republic of Korea
,
Ji Hoon Shin
1   Department of Radiology, University of Ulsan, College of Medicine Asan Medical Center, Songpa-gu, Seoul, Republic of Korea
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Abstract

A 58-year-old male presented with chronic abdominal pain lasting 5 years and a 15 × 6-cm multicystic thoracic duct cyst with three compartments, located in the right retrocrural and retrocardiac regions from T5/T6 to T12/L1. A transhepatic route was selected to sclerose the middle and lower compartments. Subsequent contrast injection showed minimal contrast passage into the upper compartment through a narrow neck, but the guidewire could not pass into this compartment. The contrast-filled upper compartment was punctured with a 22-g Chiba needle using a translumbar approach under cone-beam computed tomography (CT) guidance and ethanol sclerotherapy was performed. Six-month follow-up CT revealed decreased thoracic duct cyst size (5×3 cm) and no pain. This case illustrates successful percutaneous transhepatic and translumbar sclerotherapy for retrocardiac and retrocrural thoracic duct cysts, which are very difficult to remove surgically.

Keywords

sclerotherapy - thoracic duct cyst - ethanol - percutaneous


Publication History

Article published online:
04 June 2021

© 2021. The Pan Arab Interventional Radiology Society. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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