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Cardiovasc Intervent Radiol ; 44(7): 1127-1130, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-33723667

RESUMO

Hepatic lymphorrhea is a leakage from the liver's lymphatic ducts into the abdominal cavity and an extremely rare complication associated with injury of the hepatoduodenal ligament, which can lead to refractory ascites. Hepatic lymphorrhea is constituted by non-chylous ascites and can be visualized by transhepatic lymphangiography instead of pedal or intranodal lymphangiography. To date, only a few successfully treated cases using interventional procedures have been reported. Although n-butyl-2-cyanoacrylate (NBCA) glue is widely used in various cases of vascular embolization and other lymphatic leak treatments, there have been no reports of its use for post-surgical hepatic lymphorrhea. The NBCA glue embolization described in this case report may be one of the treatment options to control the refractory ascites derived from hepatic lymphorrhea.


Assuntos
Ascite Quilosa/terapia , Embolização Terapêutica/métodos , Embucrilato/farmacologia , Doenças Linfáticas/terapia , Linfografia/métodos , Ascite Quilosa/diagnóstico , Humanos , Doenças Linfáticas/diagnóstico , Vasos Linfáticos , Masculino , Pessoa de Meia-Idade , Resultado do Tratamento
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