Percutaneous Balloon Plasty for Thoracic Duct Occlusion in a Patient with Chylothorax and Chylous Ascites

被引：8
作者：
Kariya, Shuji [1 ]
Nakatani, Miyuki [1 ]
Ono, Yasuyuki [1 ]
Maruyama, Takuji [1 ]
Ueno, Yutaka [1 ]
Komemushi, Atsushi [1 ]
Tanigawa, Noboru [1 ]
机构：
[1] Kansai Med Univ, Dept Radiol, 2-5-1 Shinmachi, Hirakata, Osaka 5731010, Japan
来源：
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY | 2019年 / 42卷 / 05期
关键词：
Chylothorax; Chylous ascites; Thoracic duct plasty; Lymphangiography; Balloon; LYMPHATIC EMBOLIZATION; EXPERIENCE;
D O I：
10.1007/s00270-018-02157-7
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A patient developed abdominal distension, dyspnea, and nausea due to chylothorax and chylous ascites 1month after bruising her back. Lymphangiography was unable to identify the site of lymph leakage, and lymphatic duct embolization was impractical. However, lymphangiography showed occlusion of the thoracic duct. Thus, balloon plasty was performed to restore the patency of the thoracic duct, and the chylothorax and chylous ascites improved. Although embolization of the thoracic or lymphatic ducts has been reported as a treatment for lymphorrhea, it is impractical if the lymphatic duct responsible for leakage cannot be identified. In such a case, balloon plasty of the occluded thoracic duct to lower the pressure in the peripheral lymphatic ducts was successfully performed.
引用
收藏
页码：779 / 783
页数：5
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