Direct Percutaneous Needle Puncture and Intrapulmonary Lymphatic Embolization for Treatment of Chylothorax in a Patient with Lymphoma
Lymphoma is a common cause of nontraumatic chylothorax. Clinical success rates of thoracic duct embolization are lower in patients with nontraumatic chylothorax compared to patients with traumatic chylothorax. Herein, we report a case of nontraumatic chylothorax and lymphoma in a 77-year-old man...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
The Korean Society of Radiology
2020-09-01
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| Series: | 대한영상의학회지 |
| Subjects: | |
| Online Access: | https://doi.org/10.3348/jksr.2019.0189 |
| Summary: | Lymphoma is a common cause of nontraumatic chylothorax. Clinical success rates of thoracic
duct embolization are lower in patients with nontraumatic chylothorax compared to patients
with traumatic chylothorax. Herein, we report a case of nontraumatic chylothorax and lymphoma
in a 77-year-old man managed with thoracic duct embolization. The chest tube drainage decreased
but not was sufficient to enable removal of the chest tube. Therefore, a second embolization
was performed through a direct puncture of the lymphatic mass in the lung, following
which the chyle leakage ceased, and the chest tube was removed. The treatment strategy discussed
in this report may be an effective therapeutic option for select patients with nontraumatic
chylothorax. |
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| ISSN: | 1738-2637 2288-2928 |