title: Refractory chylothorax in hepatic cirrhosis: successful treatment by transjugular intrahepatic portosystemic shunt.
abstract: Patients with cirrhosis and portal hypertension have increased thoracic duct lymph flow. Correction of portal hypertension is associated with decreases in thoracic duct flow. The authors present a case of rapid resolution of refractory chylothorax caused by thoracic duct injury proven by lymphangiography and helical CT scan in a patient with cirrhosis of the liver by using a transjugular intrahepatic portosystemic shunt to decrease portal pressure and thereby reduce thoracic duct lymph flow.
authors.affiliation: Department of Radiology, Hôpital Cochin, Paris, France. olivier.vignaux@cch.ap-hop-paris.fr
authors.forename: Olivier
authors.initials: O
authors.lastname: Vignaux
authors.forename: Hervé
authors.initials: H
authors.lastname: Gouya
authors.forename: Bertrand
authors.initials: B
authors.lastname: Dousset
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Mazuir
authors.forename: Catherine
authors.initials: C
authors.lastname: Buffet
authors.forename: Yvon
authors.initials: Y
authors.lastname: Calmus
authors.forename: Paul
authors.initials: P
authors.lastname: Legmann
mesh_terms: D002916:Chylothorax / Q000000981:diagnostic imaging* / Q000601:surgery*; D005260:Female; D006801:Humans; D008103:Liver Cirrhosis / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D019168:Portasystemic Shunt, Transjugular Intrahepatic; D013897:Thoracic Duct / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D014057:Tomography, X-Ray Computed