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Postoperative Chylothorax: the Use of Dynamic Magnetic Resonance Lymphangiography and Thoracic Duct Embolization

  • Lee, Chae Woon (Department of Radiology and Research Institute of Radiology, Asan Medical Center) ;
  • Koo, Hyun Jung (Department of Radiology and Research Institute of Radiology, Asan Medical Center) ;
  • Shin, Ji Hoon (Department of Radiology and Research Institute of Radiology, Asan Medical Center) ;
  • Kim, Mi young (Department of Radiology and Research Institute of Radiology, Asan Medical Center) ;
  • Yang, Dong Hyun (Department of Radiology and Research Institute of Radiology, Asan Medical Center)
  • Received : 2018.06.15
  • Accepted : 2018.07.16
  • Published : 2018.09.30

Abstract

Dynamic enhanced magnetic resonance lymphangiography can be used to provide anatomic and dynamic information for various lymphatic diseases, including thoracic duct injury, and can also help to guide the thoracic duct embolization procedure. We present a case of postoperative chylothorax demonstrated by dynamic enhanced MR lymphangiography. In this case, the chyle leakage site and location of cisterna chyli were clearly visualized by dynamic enhanced MR lymphangiography, thus allowing for management with thoracic duct embolization.

Keywords

References

  1. Erden A, Fitoz S, Yagmurlu B, Erden I. Abdominal confluence of lymph trunks: detectability and morphology on heavily T2-weighted images. AJR Am J Roentgenol 2005;184:35-40 https://doi.org/10.2214/ajr.184.1.01840035
  2. Deso S, Ludwig B, Kabutey NK, Kim D, Guermazi A. Lymphangiography in the diagnosis and localization of various chyle leaks. Cardiovasc Intervent Radiol 2012;35:117-126 https://doi.org/10.1007/s00270-010-0066-x
  3. Krishnamurthy R, Hernandez A, Kavuk S, Annam A, Pimpalwar S. Imaging the central conducting lymphatics: initial experience with dynamic MR lymphangiography. Radiology 2015;274:871-878 https://doi.org/10.1148/radiol.14131399
  4. Lohrmann C, Foeldi E, Speck O, Langer M. High- resolution MR lymphangiography in patients with primary and secondary lymphedema. AJR Am J Roentgenol 2006;187:556-561 https://doi.org/10.2214/AJR.05.1750
  5. Pillay TG, Singh B. A review of traumatic chylothorax. Injury 2016;47:545-550 https://doi.org/10.1016/j.injury.2015.12.015

Cited by

  1. Lymphatic imaging and intervention for chylothorax following thoracic aortic surgery vol.99, pp.34, 2018, https://doi.org/10.1097/md.0000000000021725