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

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. This novel technique offers superior potential for preoperative assessment and the planning of laparoscopic repair

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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