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Life-threatening pulmonary lymphedema secondary to thoracic duct ligation.

Identifieur interne : 001254 ( PubMed/Curation ); précédent : 001253; suivant : 001255

Life-threatening pulmonary lymphedema secondary to thoracic duct ligation.

Auteurs : Hiroshi Ohnishi [Japon] ; Takashi Yamane ; Naoki Shiota ; Akihito Yokoyama

Source :

RBID : pubmed:25318800

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English descriptors

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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Le document en format XML

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<nlm:affiliation>Department of Hematology and Respiratory Medicine, Kochi Medical School, Kochi University, Japan.</nlm:affiliation>
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<name sortKey="Yamane, Takashi" sort="Yamane, Takashi" uniqKey="Yamane T" first="Takashi" last="Yamane">Takashi Yamane</name>
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<name sortKey="Shiota, Naoki" sort="Shiota, Naoki" uniqKey="Shiota N" first="Naoki" last="Shiota">Naoki Shiota</name>
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<name sortKey="Yokoyama, Akihito" sort="Yokoyama, Akihito" uniqKey="Yokoyama A" first="Akihito" last="Yokoyama">Akihito Yokoyama</name>
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<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>
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