title: [Acute adult respiratory distress syndrome after lymphography].
abstract: Pulmonary complications of lymphography are usually described as radiological infiltrates without clinical symptoms. However, a case is here reported of an adult respiratory distress syndrome occurring after lymphography in a 60 year old female lymphoma patient. Pulmonary oedema developed within 48 h; haemodynamic study showed a normal capillary wedge pressure. The patient died from intractable low cardiac output within 24 h. Post-mortem examination showed pulmonary lymphocytic infiltration and multiple fat emboli. The lack of lymphatic drainage was probably responsible for the intravascular passage of lipid-soluble contrast medium, this giving endothelial lesions. In such patients with preexisting lung disease or pulmonary involvement in haematological disease, lymphography has to be considered carefully.
authors.forename: M
authors.initials: M
authors.lastname: Saada
authors.forename: P
authors.initials: P
authors.lastname: Trunet
authors.forename: F
authors.initials: F
authors.lastname: Bonnet
authors.forename: C
authors.initials: C
authors.lastname: Brun-Buisson
authors.forename: F
authors.initials: F
authors.lastname: Lange
authors.forename: F
authors.initials: F
authors.lastname: Lemaire
authors.forename: M
authors.initials: M
authors.lastname: Rapin
mesh_terms: D004620:Embolism, Fat / Q000473:pathology; D005260:Female; D006801:Humans; D007459:Iodized Oil / Q000009:adverse effects; D008168:Lung / Q000473:pathology; D008220:Lymphography / Q000009:adverse effects*; D008223:Lymphoma / Q000000981:diagnostic imaging; D008875:Middle Aged; D012128:Respiratory Distress Syndrome / Q000209:etiology* / Q000473:pathology
chemical_list: D007459:Iodized Oil
vernacular_title: Syndrome de détresse respiratoire aiguë de l'adulte après lymphographie.