Chylous ascites after donor nephrectomy: MR lymphangiography and lymphatic embolization treatment
Abstracts: Chylous ascites results from the leakage of lipid-rich lymphatic fluid into the peritoneal cavity. Most postsurgical chylous ascites occurs following abdominal aortic surgeries. However, rarely, it is a complication after laparoscopic donor nephrectomy. Postsurgical chylous ascites are of...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-03-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S193004332201086X |
| _version_ | 1811176135904460800 |
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| author | Tran Quoc Hoa, MD, PhD Nguyen Ngoc Cuong, MD, PhD Thieu Thi Tra My Le Tuan Linh, MD, PhD Le Hoan Pham Hong Canh Trieu Quoc Tinh Tran Nguyen Khanh Chi Doan Tien Luu, MD, PhD Hoang Long |
| author_facet | Tran Quoc Hoa, MD, PhD Nguyen Ngoc Cuong, MD, PhD Thieu Thi Tra My Le Tuan Linh, MD, PhD Le Hoan Pham Hong Canh Trieu Quoc Tinh Tran Nguyen Khanh Chi Doan Tien Luu, MD, PhD Hoang Long |
| author_sort | Tran Quoc Hoa, MD, PhD |
| collection | DOAJ |
| description | Abstracts: Chylous ascites results from the leakage of lipid-rich lymphatic fluid into the peritoneal cavity. Most postsurgical chylous ascites occurs following abdominal aortic surgeries. However, rarely, it is a complication after laparoscopic donor nephrectomy. Postsurgical chylous ascites are often managed with conservative treatment or surgery, but lymphatic embolization may be required. Here, we presented a 45-year-old male patient who was referred for abdominal distension for 1 week after left donor nephrectomy. The drain fluid was milky and fluid analysis revealed high concentrations of triglycerides and chylomicron, confirming diagnosis of chylous ascites. The patient was treated with conservative therapy including a low-fat diet and fluid drainage but continued to have high draining output (up to 1500-2000 mL/24 h). He underwent magnetic resonance lymphangiography and intranodal lymphangiography, revealing extravasation of contrast into the abdomen and the left renal fossa. We embolized the interstitial lymphatic of the left retroperitoneal and lymphatic vessels leak. The patient was discharged from hospital at the fifth day after intervention. In this article, we demonstrate lymphatic lesions, the safety, and success of this technique. |
| first_indexed | 2024-04-10T19:47:18Z |
| format | Article |
| id | doaj.art-56d0add1c6c84802a5b1f41b38d4e868 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-10T19:47:18Z |
| publishDate | 2023-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-56d0add1c6c84802a5b1f41b38d4e8682023-01-29T04:20:20ZengElsevierRadiology Case Reports1930-04332023-03-0118310291032Chylous ascites after donor nephrectomy: MR lymphangiography and lymphatic embolization treatmentTran Quoc Hoa, MD, PhD0Nguyen Ngoc Cuong, MD, PhD1Thieu Thi Tra My2Le Tuan Linh, MD, PhD3Le Hoan4Pham Hong Canh5Trieu Quoc Tinh6Tran Nguyen Khanh Chi7Doan Tien Luu, MD, PhD8Hoang Long9Urology Surgery Department, Hanoi Medical University Hospital, Hanoi, VietnamDiagnostic Imaging and Interventional Radiology Center, Hanoi Medical University Hospital, Hanoi, Vietnam; Corresponding author.Diagnostic Imaging and Interventional Radiology Center, Hanoi Medical University Hospital, Hanoi, VietnamDiagnostic Imaging and Interventional Radiology Center, Hanoi Medical University Hospital, Hanoi, VietnamRespiratory Department, Hanoi Medical University, Hanoi, VietnamDiagnostic Imaging and Interventional Radiology Center, Hanoi Medical University Hospital, Hanoi, VietnamDiagnostic Imaging and Interventional Radiology Center, Hanoi Medical University Hospital, Hanoi, VietnamDiagnostic Imaging and Interventional Radiology Center, Hanoi Medical University Hospital, Hanoi, VietnamDiagnostic Imaging and Interventional Radiology Center, Hanoi Medical University Hospital, Hanoi, VietnamUrology Surgery Department, Hanoi Medical University Hospital, Hanoi, VietnamAbstracts: Chylous ascites results from the leakage of lipid-rich lymphatic fluid into the peritoneal cavity. Most postsurgical chylous ascites occurs following abdominal aortic surgeries. However, rarely, it is a complication after laparoscopic donor nephrectomy. Postsurgical chylous ascites are often managed with conservative treatment or surgery, but lymphatic embolization may be required. Here, we presented a 45-year-old male patient who was referred for abdominal distension for 1 week after left donor nephrectomy. The drain fluid was milky and fluid analysis revealed high concentrations of triglycerides and chylomicron, confirming diagnosis of chylous ascites. The patient was treated with conservative therapy including a low-fat diet and fluid drainage but continued to have high draining output (up to 1500-2000 mL/24 h). He underwent magnetic resonance lymphangiography and intranodal lymphangiography, revealing extravasation of contrast into the abdomen and the left renal fossa. We embolized the interstitial lymphatic of the left retroperitoneal and lymphatic vessels leak. The patient was discharged from hospital at the fifth day after intervention. In this article, we demonstrate lymphatic lesions, the safety, and success of this technique.http://www.sciencedirect.com/science/article/pii/S193004332201086XChylous ascitesLiving donor nephrectomyLymphatic embolizationLymphangiography |
| spellingShingle | Tran Quoc Hoa, MD, PhD Nguyen Ngoc Cuong, MD, PhD Thieu Thi Tra My Le Tuan Linh, MD, PhD Le Hoan Pham Hong Canh Trieu Quoc Tinh Tran Nguyen Khanh Chi Doan Tien Luu, MD, PhD Hoang Long Chylous ascites after donor nephrectomy: MR lymphangiography and lymphatic embolization treatment Radiology Case Reports Chylous ascites Living donor nephrectomy Lymphatic embolization Lymphangiography |
| title | Chylous ascites after donor nephrectomy: MR lymphangiography and lymphatic embolization treatment |
| title_full | Chylous ascites after donor nephrectomy: MR lymphangiography and lymphatic embolization treatment |
| title_fullStr | Chylous ascites after donor nephrectomy: MR lymphangiography and lymphatic embolization treatment |
| title_full_unstemmed | Chylous ascites after donor nephrectomy: MR lymphangiography and lymphatic embolization treatment |
| title_short | Chylous ascites after donor nephrectomy: MR lymphangiography and lymphatic embolization treatment |
| title_sort | chylous ascites after donor nephrectomy mr lymphangiography and lymphatic embolization treatment |
| topic | Chylous ascites Living donor nephrectomy Lymphatic embolization Lymphangiography |
| url | http://www.sciencedirect.com/science/article/pii/S193004332201086X |
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