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Lymphedema tarda after liver transplantation: a case report and review of the literature.

Identifieur interne : 007B04 ( Main/Merge ); précédent : 007B03; suivant : 007B05

Lymphedema 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. Busuttil

Source :

RBID : pubmed:17238860

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English descriptors

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:17238860

Le document en format XML

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<term>Antiviral Agents (therapeutic use)</term>
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<term>Humans</term>
<term>Liver Diseases (etiology)</term>
<term>Liver Diseases (surgery)</term>
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<term>Maladies alcooliques du foie ()</term>
<term>Maladies du foie ()</term>
<term>Maladies du foie (étiologie)</term>
<term>Mâle</term>
<term>Résultat thérapeutique</term>
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<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>
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