Subscribe to RSS
DOI: 10.1055/s-2007-971180
Lymphangiography: A Case Study
Publication History
Publication Date:
27 March 2007 (online)
ABSTRACT
Lymphatic leak is a rare but well-described complication of a multitude of surgeries, whose sequela may potentially be life threatening. For cases refractory to conservative management, surgical therapy has been the mainstay of treatment. Although radiology has always played a contributory role in the diagnosis of lymphatic leaks with lymphoscintigraphy and lymphangiography, minimally invasive management of lymphatic leaks by interventional radiologists has only been described in the last decade. We present a case of percutaneous disruption of the cisterna chyli to treat a lymphatic leak of the thoracic duct.
KEYWORDS
Lymphangiogram - lymphatic leak - cisterna chili
REFERENCES
- 1 Barnacle A M, Kleidon T M. Lymphatic leak complicating central venous catheter insertion. Cardiovasc Intervent Radiol. 2005; 28 839-840
- 2 Porziella V, Cesario A, Margaritora S, Granone P. Role of pre-operative lymphangiogram and lympangioscintigraphy in the surgical management of spontaneous chylothorax. Eur J Cardiothorac Surg. 2006; 30 813
- 3 Merrigan B A, Winter D C, O'Sullivan G C. Chylothorax. Br J Surg. 1997; 84 15-20
- 4 Leibovitch I, Mor Y, Golomb J, Ramon J. The diagnosis and management of postoperative chylous ascites. J Urol. 2002; 167 449-457
- 5 Yamagami T, Masunami T, Kato T et al.. Spontaneous healing of chyle leakage after lymphangiography. Br J Radiol. 2005; 78 854-857
- 6 Cope C. Diagnosis and treatment of postoperative chyle leakage via percutaneous transabdominal catheterization of the cisterna chyli: a preliminary study. J Vasc Interv Radiol. 1998; 9 727-734
- 7 Dugue L, Sauvanet A, Farges O, Goharin A, Le Mee J, Belghiti J. Output of chyle as an indicator of treatment for chylothorax complicating oesophagectomy. Br J Surg. 1998; 85 1147-1149
- 8 Cerfolio R J, Allen M S, Deschamps C, Trastek V F, Pairolero P C. Postoperative chylothorax. J Thorac Cardiovasc Surg. 1996; 112 1361-1365
- 9 Rubin B E. Extravasation of ethiodol into deep tissues of the foot: a complication of lymphangiography. AJR Am J Roentgenol. 1978; 131 342-343
- 10 Cope C, Kaiser L R. Management of unremitting chylothorax by percutaneous embolization and blockage of retroperitoneal lymphatic vessels in 42 patients. J Vasc Interv Radiol. 2002; 13 1139-1148
- 11 Pinto P S, Sirlin C B, Andrade-Barreto O A, Brown M A, Mindelzun R E, Mattrey R F. Cisterna chyli at routine abdominal MR imaging: a normal anatomic structure in the retrocrural space. Radiographics. 2004; 24 809-817
- 12 Binkert C A, Yucel K E, Davison B D, Sugarbaker D J, Baum R A. Percutaneous treatment of high output chylothorax with embolization or needle disruption technique. J Vasc Interv Radiol. 2005; 16 1257-1262
Labib H SyedM.D. M.P.H.
Chief, Clinical Fellow, Vascular and Interventional Radiology, Johns Hopkins Hospital
600 N. Wolfe Street, Blalock 545, CVDL, Baltimore, MD 21287