Therapeutic lymphangiography for traumatic chylothorax.

Abstract

Chylothorax is a challenging disease. We present a case of traumatic chylothorax that was successfully treated using lymphangiography through intranodal injection of contrast agent. A 17-year-old girl had chylothorax. It did not improve despite medical treatment. We performed lymphangiography through intranodal injection of an oil contrast agent (Lipiodol). The amount of chylothorax was reduced from 1000 to 120 mL/d, and we could remove the thoracotomy tube. Thereafter, although she had a small amount of pleural effusion, she has not demonstrated aggravation for 19 months. Lymphangiography with oil contrast agent can be one of the options to treat chylothorax.

• Authors: Hisako Hara, Makoto Mihara, Masayoshi Yamamoto
• Journal: Journal of vascular surgery. Venous and lymphatic disorders (J Vasc Surg Venous Lymphat Disord) Vol. 6 Issue 2 Pg. 237-240 (03 2018) ISSN: 2213-3348 [Electronic] United States
• PMID: 29454438 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2017. Published by Elsevier Inc.

Chemical References

• Contrast Media
• Ethiodized Oil

Topics

• Adolescent
• Chest Tubes
• Chylothorax (diagnostic imaging, etiology, therapy)
• Contrast Media (administration & dosage)
• Drainage (instrumentation)
• Ethiodized Oil (administration & dosage)
• Female
• Humans
• Injections
• Lymphography (methods)
• Lymphoscintigraphy
• Pleural Effusion (diagnostic imaging, etiology, therapy)
• Thoracic Injuries (diagnostic imaging, etiology, therapy)
• Thoracostomy (instrumentation)
• Treatment Outcome