Use of computed tomography-lymphangiography with direct injection of water-soluble contrast medium to identify the origin of chylous ascites.
Identifieur interne : 001643 ( Main/Exploration ); précédent : 001642; suivant : 001644Use of computed tomography-lymphangiography with direct injection of water-soluble contrast medium to identify the origin of chylous ascites.
Auteurs : Kohei Otake [Japon] ; Keiichi Uchida [Japon] ; Mikihiro Inoue [Japon] ; Yuhki Koike [Japon] ; Mitsunaga Narushima [Japon] ; Masato Kusunoki [Japon]Source :
- Journal of vascular surgery. Venous and lymphatic disorders [ 2213-3348 ] ; 2015.
Abstract
Contrast lymphangiography is a useful technique to determine the site of lymphatic leakage in the patient with chylous ascites. Conventional lymphangiography with lipid-soluble contrast material carries the disadvantage of complications, such as oil emboli and lymphedema. The authors report a successful case of computed tomography (CT)-lymphangiography with direct injection of water-soluble contrast medium into a lower limb lymphatic vessel to determine the site of lymphatic leakage in a pediatric patient with refractory primary chylous ascites. The patient subsequently underwent laparoscopic ligation of the leaking site and recovered well. This novel technique offers superior potential for preoperative assessment and the planning of laparoscopic repair.
DOI: 10.1016/j.jvsv.2014.04.005
PubMed: 26993687
Affiliations:
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Electronic address: kohei815@clin.medic.mie-u.ac.jp.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, Mie</wicri:regionArea><wicri:noRegion>Mie</wicri:noRegion></affiliation></author><author><name sortKey="Uchida, Keiichi" sort="Uchida, Keiichi" uniqKey="Uchida K" first="Keiichi" last="Uchida">Keiichi Uchida</name><affiliation wicri:level="1"><nlm:affiliation>Department of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, Mie, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, Mie</wicri:regionArea><wicri:noRegion>Mie</wicri:noRegion></affiliation></author><author><name sortKey="Inoue, Mikihiro" sort="Inoue, Mikihiro" uniqKey="Inoue M" first="Mikihiro" last="Inoue">Mikihiro Inoue</name><affiliation wicri:level="1"><nlm:affiliation>Department of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, Mie, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, Mie</wicri:regionArea><wicri:noRegion>Mie</wicri:noRegion></affiliation></author><author><name sortKey="Koike, Yuhki" sort="Koike, Yuhki" uniqKey="Koike Y" first="Yuhki" last="Koike">Yuhki Koike</name><affiliation wicri:level="1"><nlm:affiliation>Department of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, Mie, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, Mie</wicri:regionArea><wicri:noRegion>Mie</wicri:noRegion></affiliation></author><author><name sortKey="Narushima, Mitsunaga" sort="Narushima, Mitsunaga" uniqKey="Narushima M" first="Mitsunaga" last="Narushima">Mitsunaga Narushima</name><affiliation wicri:level="4"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo</wicri:regionArea><placeName><settlement type="city">Tokyo</settlement><region type="région">Région de Kantō</region><settlement type="city">Tokyo</settlement></placeName><orgName type="university">Université de Tokyo</orgName></affiliation></author><author><name sortKey="Kusunoki, Masato" sort="Kusunoki, Masato" uniqKey="Kusunoki M" first="Masato" last="Kusunoki">Masato Kusunoki</name><affiliation wicri:level="1"><nlm:affiliation>Department of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, Mie, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, Mie</wicri:regionArea><wicri:noRegion>Mie</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of vascular surgery. 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