Post-lymphangiographic computed tomography in chylothorax after esophagogastrectomy: a case report.
Lymphology
; 42(3): 130-3, 2009 Sep.
Article
em En
| MEDLINE
| ID: mdl-19927902
ABSTRACT
Chylothorax is a rare complication of thoracic surgery. Lymphangiography has long been considered to be the standard of reference for diagnosis and post-treatment evaluation while the role of post-lymangiographic CT is debated. We report a case of chylothorax in a 68-year-old male following esophagogastrectomy for which conservative treatment and thoracic duct ligation failed. Lymphangiography performed after these attempts revealed persistent thoracic duct leakage into the right pleural space. Subsequent non-contrast CT and reformatted images clearly depicted the sources of leakage, and this documentation targeted direct percutaneous treatment. Unfortunately, the lack of access precluded the planned percutaneous CT-guided embolization of the thoracic duct. Nevertheless, this case suggests that post- lymphangiographic CT can serve as a value-added modality in the evaluation and potential treatment of chylothorax.
Buscar no Google
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Neoplasias Esofágicas
/
Linfografia
/
Adenocarcinoma
/
Tomografia Computadorizada por Raios X
/
Quilotórax
/
Esofagectomia
/
Gastrectomia
Limite:
Aged
/
Humans
/
Male
Idioma:
En
Ano de publicação:
2009
Tipo de documento:
Article