Endolymphatic exclusion for the treatment of pediatric chylous ascites secondary to neuroblastoma resection: report of two cases
Chylous ascites is a rare, but highly morbid complication of oncologic resection, often associated with retroperitoneal lymphadenectomy. Conservative measures with total parenteral nutrition or lipid-reduced formulas constitute the initial mainstay therapy, but not without risks and failures. This r...
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| Format: | Article |
| Language: | English |
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Elsevier
2020-07-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043320301667 |
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| author | Andrew Woerner, MD, MS David S. Shin, MD Jeffrey Forris Beecham Chick, MD, MPH, FSVM Caitlin A. Smith, MD Jay F. Sarthy, MD, PhD Eric J. Monroe, MD |
| author_facet | Andrew Woerner, MD, MS David S. Shin, MD Jeffrey Forris Beecham Chick, MD, MPH, FSVM Caitlin A. Smith, MD Jay F. Sarthy, MD, PhD Eric J. Monroe, MD |
| author_sort | Andrew Woerner, MD, MS |
| collection | DOAJ |
| description | Chylous ascites is a rare, but highly morbid complication of oncologic resection, often associated with retroperitoneal lymphadenectomy. Conservative measures with total parenteral nutrition or lipid-reduced formulas constitute the initial mainstay therapy, but not without risks and failures. This report describes 2 endolymphatic treatment strategies for iatrogenic chylous ascites following neuroblastoma resection. Lymphatic leaks were identified using intranodal lymphangiography, targeted with cone-beam computed tomographic guidance, and embolized with n-butyl cyanoacrylate. There were no adverse outcomes, with complete resolution of chylous ascites and a mean follow-up of 26 months. |
| first_indexed | 2024-12-10T12:18:45Z |
| format | Article |
| id | doaj.art-8ca2f64aefcb416d83260e2699926e81 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-12-10T12:18:45Z |
| publishDate | 2020-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-8ca2f64aefcb416d83260e2699926e812022-12-22T01:49:09ZengElsevierRadiology Case Reports1930-04332020-07-0115710441049Endolymphatic exclusion for the treatment of pediatric chylous ascites secondary to neuroblastoma resection: report of two casesAndrew Woerner, MD, MS0David S. Shin, MD1Jeffrey Forris Beecham Chick, MD, MPH, FSVM2Caitlin A. Smith, MD3Jay F. Sarthy, MD, PhD4Eric J. Monroe, MD5Interventional Radiology Section, Department of Radiology, University of Washington, 1959 Northeast Pacific Street, Seattle, WA 98195, USAInterventional Radiology Section, Department of Radiology, University of Washington, 1959 Northeast Pacific Street, Seattle, WA 98195, USAInterventional Radiology Section, Department of Radiology, University of Washington, 1959 Northeast Pacific Street, Seattle, WA 98195, USA; Division of Vascular and Interventional Radiology, Department of Radiology, Seattle Children's Hospital, 4800 Sand Point Way Northeast, Seattle, WA 98105, USADepartment of General Surgery, University of Washington and Seattle Children's Hospital, Seattle, WA, USAClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA; Cancer and Blood Disorders Center, Seattle Children's Hospital, Seattle, WA, USAInterventional Radiology Section, Department of Radiology, University of Washington, 1959 Northeast Pacific Street, Seattle, WA 98195, USA; Division of Vascular and Interventional Radiology, Department of Radiology, Seattle Children's Hospital, 4800 Sand Point Way Northeast, Seattle, WA 98105, USA; Corresponding author.Chylous ascites is a rare, but highly morbid complication of oncologic resection, often associated with retroperitoneal lymphadenectomy. Conservative measures with total parenteral nutrition or lipid-reduced formulas constitute the initial mainstay therapy, but not without risks and failures. This report describes 2 endolymphatic treatment strategies for iatrogenic chylous ascites following neuroblastoma resection. Lymphatic leaks were identified using intranodal lymphangiography, targeted with cone-beam computed tomographic guidance, and embolized with n-butyl cyanoacrylate. There were no adverse outcomes, with complete resolution of chylous ascites and a mean follow-up of 26 months.http://www.sciencedirect.com/science/article/pii/S1930043320301667PediatricsOncologyChylous ascitesLymphaticInterventional radiologyCone beam computed tomography |
| spellingShingle | Andrew Woerner, MD, MS David S. Shin, MD Jeffrey Forris Beecham Chick, MD, MPH, FSVM Caitlin A. Smith, MD Jay F. Sarthy, MD, PhD Eric J. Monroe, MD Endolymphatic exclusion for the treatment of pediatric chylous ascites secondary to neuroblastoma resection: report of two cases Radiology Case Reports Pediatrics Oncology Chylous ascites Lymphatic Interventional radiology Cone beam computed tomography |
| title | Endolymphatic exclusion for the treatment of pediatric chylous ascites secondary to neuroblastoma resection: report of two cases |
| title_full | Endolymphatic exclusion for the treatment of pediatric chylous ascites secondary to neuroblastoma resection: report of two cases |
| title_fullStr | Endolymphatic exclusion for the treatment of pediatric chylous ascites secondary to neuroblastoma resection: report of two cases |
| title_full_unstemmed | Endolymphatic exclusion for the treatment of pediatric chylous ascites secondary to neuroblastoma resection: report of two cases |
| title_short | Endolymphatic exclusion for the treatment of pediatric chylous ascites secondary to neuroblastoma resection: report of two cases |
| title_sort | endolymphatic exclusion for the treatment of pediatric chylous ascites secondary to neuroblastoma resection report of two cases |
| topic | Pediatrics Oncology Chylous ascites Lymphatic Interventional radiology Cone beam computed tomography |
| url | http://www.sciencedirect.com/science/article/pii/S1930043320301667 |
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