Lymphedema tarda after liver transplantation: a case report and review of the literature.
Identifieur interne : 007B04 ( Main/Merge ); précédent : 007B03; suivant : 007B05Lymphedema tarda after liver transplantation: a case report and review of the literature.
Auteurs : Sammy Saab [États-Unis] ; Stephen Nguyen ; James Collins ; Gregg Kunder ; Ronald W. BusuttilSource :
- Experimental and clinical transplantation : official journal of the Middle East Society for Organ Transplantation [ 1304-0855 ] ; 2006.
Descripteurs français
- KwdFr :
- MESH :
- diagnostic : Ascites, Lymphoedème.
- effets indésirables : Transplantation hépatique.
- usage thérapeutique : Antiviraux.
- étiologie : Maladies du foie.
- Adulte d'âge moyen, Humains, Hépatite C, Maladies alcooliques du foie, Maladies du foie, Mâle, Résultat thérapeutique.
English descriptors
- KwdEn :
- MESH :
- chemical , therapeutic use : Antiviral Agents.
- adverse effects : Liver Transplantation.
- diagnosis : Ascites, Lymphedema.
- etiology : Liver Diseases.
- surgery : Hepatitis C, Liver Diseases, Liver Diseases, Alcoholic.
- Humans, Male, Middle Aged, Treatment Outcome.
Abstract
We present a patient with lymphedema that developed after orthotopic liver transplantation. The cause of the posttransplant lymphedema was likely related to a developmental abnormality of the lymphatic system that was exaggerated by refractory chylous ascites. A peritoneal fluid with a milky appearance, chylous ascites is rich in triglyceride and is caused by the obstruction or disruption of abdominal lymphatic channels. It is a rare complication that may develop after trauma or abdominal surgery or as a result of a malignant disease, and it is even more uncommon after liver transplantation. Therapy for chylous ascites involves treating its underlying cause. In the patient we describe, lymphedema tarda, which was diagnosed 6 months after liver transplantation, was likely caused by chylous ascites and a developmental abnormality of the lymphatic system.
PubMed: 17238860
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pubmed:17238860Le document en format XML
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<wicri:regionArea>Department of Medicine, David Geffen School of Medicine at UCLA, University of California at Los Angeles, Los Angeles, California 90095-7302</wicri:regionArea>
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<term>Ascites (diagnosis)</term>
<term>Hepatitis C (surgery)</term>
<term>Humans</term>
<term>Liver Diseases (etiology)</term>
<term>Liver Diseases (surgery)</term>
<term>Liver Diseases, Alcoholic (surgery)</term>
<term>Liver Transplantation (adverse effects)</term>
<term>Lymphedema (diagnosis)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Treatment Outcome</term>
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<term>Antiviraux (usage thérapeutique)</term>
<term>Ascites (diagnostic)</term>
<term>Humains</term>
<term>Hépatite C ()</term>
<term>Lymphoedème (diagnostic)</term>
<term>Maladies alcooliques du foie ()</term>
<term>Maladies du foie ()</term>
<term>Maladies du foie (étiologie)</term>
<term>Mâle</term>
<term>Résultat thérapeutique</term>
<term>Transplantation hépatique (effets indésirables)</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Ascites</term>
<term>Lymphedema</term>
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<term>Liver Diseases</term>
<term>Liver Diseases, Alcoholic</term>
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<term>Middle Aged</term>
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<term>Humains</term>
<term>Hépatite C</term>
<term>Maladies alcooliques du foie</term>
<term>Maladies du foie</term>
<term>Mâle</term>
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<front><div type="abstract" xml:lang="en">We present a patient with lymphedema that developed after orthotopic liver transplantation. The cause of the posttransplant lymphedema was likely related to a developmental abnormality of the lymphatic system that was exaggerated by refractory chylous ascites. A peritoneal fluid with a milky appearance, chylous ascites is rich in triglyceride and is caused by the obstruction or disruption of abdominal lymphatic channels. It is a rare complication that may develop after trauma or abdominal surgery or as a result of a malignant disease, and it is even more uncommon after liver transplantation. Therapy for chylous ascites involves treating its underlying cause. In the patient we describe, lymphedema tarda, which was diagnosed 6 months after liver transplantation, was likely caused by chylous ascites and a developmental abnormality of the lymphatic system.</div>
</front>
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