Refractory chylothorax in hepatic cirrhosis: successful treatment by transjugular intrahepatic portosystemic shunt.
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.
Vignaux
Olivier
O
Department of Radiology, Hôpital Cochin, Paris, France. olivier.vignaux@cch.ap-hop-paris.fr
Gouya
Hervé
H
Dousset
Bertrand
B
Mazuir
Elisabeth
E
Buffet
Catherine
C
Calmus
Yvon
Y
Legmann
Paul
P
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