Use of computed tomography-lymphangiography with direct injection of water-soluble contrast medium to identify the origin of chylous ascites

Kohei Otake, Keiichi Uchida, Mikihiro Inoue, Yuhki Koike, Mitsunaga Narushima, Masato Kusunoki

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

Contrast lymphangiography is a useful technique to determine the site of lymphatic leakage in the patient with chylous ascites. Conventional lymphangiography with lipid-soluble contrast material carries the disadvantage of complications, such as oil emboli and lymphedema. The authors report a successful case of computed tomography (CT)-lymphangiography with direct injection of water-soluble contrast medium into a lower limb lymphatic vessel to determine the site of lymphatic leakage in a pediatric patient with refractory primary chylous ascites. The patient subsequently underwent laparoscopic ligation of the leaking site and recovered well.

Original languageEnglish
Pages (from-to)90-93
Number of pages4
JournalJournal of Vascular Surgery: Venous and Lymphatic Disorders
Volume3
Issue number1
DOIs
Publication statusPublished - 01-01-2015
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery
  • Cardiology and Cardiovascular Medicine

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