[Acute adult respiratory distress syndrome after lymphography].
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.
Saada
M
M
Trunet
P
P
Bonnet
F
F
Brun-Buisson
C
C
Lange
F
F
Lemaire
F
F
Rapin
M
M
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
D007459:Iodized Oil
Syndrome de détresse respiratoire aiguë de l'adulte après lymphographie.