Life-threatening pulmonary lymphedema secondary to thoracic duct ligation.
Identifieur interne : 001254 ( PubMed/Curation ); précédent : 001253; suivant : 001255Life-threatening pulmonary lymphedema secondary to thoracic duct ligation.
Auteurs : Hiroshi Ohnishi [Japon] ; Takashi Yamane ; Naoki Shiota ; Akihito YokoyamaSource :
- Internal medicine (Tokyo, Japan) [ 1349-7235 ] ; 2014.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- etiology : Lung Diseases, Lymphedema, Respiratory Insufficiency.
- surgery : Thoracic Duct.
- therapy : Chylothorax.
- Female, Humans, Ligation, Middle Aged, Pleurodesis, Positive-Pressure Respiration, Tomography, X-Ray Computed.
Abstract
We herein report an extremely rare adult case presenting with life-threatening pulmonary lymphedema secondary to generalized lymphedema. A 47-year-old woman with generalized lymphedema from her feet to below her chest, had undergone surgical ligation of the thoracic duct and bilateral pleurodesis for the treatment of intractable idiopathic chylothorax three years earlier. Chest computed tomography demonstrated bilateral ground-glass opacities, air-space consolidation and interlobular septal wall thickening, presenting as a crazy-paving appearance predominantly on the gravity side. Bronchoalveolar lavage revealed marked lymphocytosis. She was treated with long-term oxygen therapy with noninvasive positive-pressure ventilation, followed by lymphovenous anastomoses of the lower extremities.
PubMed: 25318800
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pubmed:25318800Le document en format XML
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<author><name sortKey="Yamane, Takashi" sort="Yamane, Takashi" uniqKey="Yamane T" first="Takashi" last="Yamane">Takashi Yamane</name>
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<author><name sortKey="Yokoyama, Akihito" sort="Yokoyama, Akihito" uniqKey="Yokoyama A" first="Akihito" last="Yokoyama">Akihito Yokoyama</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Chylothorax (therapy)</term>
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<term>Humans</term>
<term>Ligation</term>
<term>Lung Diseases (etiology)</term>
<term>Lymphedema (etiology)</term>
<term>Middle Aged</term>
<term>Pleurodesis</term>
<term>Positive-Pressure Respiration</term>
<term>Respiratory Insufficiency (etiology)</term>
<term>Thoracic Duct (surgery)</term>
<term>Tomography, X-Ray Computed</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Chylothorax ()</term>
<term>Conduit thoracique ()</term>
<term>Femelle</term>
<term>Humains</term>
<term>Insuffisance respiratoire (étiologie)</term>
<term>Ligature</term>
<term>Lymphoedème (étiologie)</term>
<term>Maladies pulmonaires (étiologie)</term>
<term>Pleurodèse</term>
<term>Tomodensitométrie</term>
<term>Ventilation à pression positive</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lung Diseases</term>
<term>Lymphedema</term>
<term>Respiratory Insufficiency</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Thoracic Duct</term>
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<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Chylothorax</term>
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<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Insuffisance respiratoire</term>
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<term>Maladies pulmonaires</term>
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<keywords scheme="MESH" xml:lang="en"><term>Female</term>
<term>Humans</term>
<term>Ligation</term>
<term>Middle Aged</term>
<term>Pleurodesis</term>
<term>Positive-Pressure Respiration</term>
<term>Tomography, X-Ray Computed</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Chylothorax</term>
<term>Conduit thoracique</term>
<term>Femelle</term>
<term>Humains</term>
<term>Ligature</term>
<term>Pleurodèse</term>
<term>Tomodensitométrie</term>
<term>Ventilation à pression positive</term>
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<front><div type="abstract" xml:lang="en">We herein report an extremely rare adult case presenting with life-threatening pulmonary lymphedema secondary to generalized lymphedema. A 47-year-old woman with generalized lymphedema from her feet to below her chest, had undergone surgical ligation of the thoracic duct and bilateral pleurodesis for the treatment of intractable idiopathic chylothorax three years earlier. Chest computed tomography demonstrated bilateral ground-glass opacities, air-space consolidation and interlobular septal wall thickening, presenting as a crazy-paving appearance predominantly on the gravity side. Bronchoalveolar lavage revealed marked lymphocytosis. She was treated with long-term oxygen therapy with noninvasive positive-pressure ventilation, followed by lymphovenous anastomoses of the lower extremities.</div>
</front>
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<Abstract><AbstractText>We herein report an extremely rare adult case presenting with life-threatening pulmonary lymphedema secondary to generalized lymphedema. A 47-year-old woman with generalized lymphedema from her feet to below her chest, had undergone surgical ligation of the thoracic duct and bilateral pleurodesis for the treatment of intractable idiopathic chylothorax three years earlier. Chest computed tomography demonstrated bilateral ground-glass opacities, air-space consolidation and interlobular septal wall thickening, presenting as a crazy-paving appearance predominantly on the gravity side. Bronchoalveolar lavage revealed marked lymphocytosis. She was treated with long-term oxygen therapy with noninvasive positive-pressure ventilation, followed by lymphovenous anastomoses of the lower extremities.</AbstractText>
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