A case of refractory chylous ascites after nephrectomy successfully treated with percutaneous obliteration using adhesive glue.
Here we report a case of uncontrollable chylous ascites that developed after nephrectomy and was successfully treated with percutaneous obliteration of the lymphocele-like extravasation using ethiodized oil during lymphangiography. Under computed tomographic and fluoroscopic guidance, an N-butyl cyanoacrylate-ethiodized oil mixture was used with metallic coils to obliterate the extralymphatic leakage site. The volume of intraperitoneal drainage decreased steadily over the next 5 days, and the tube was removed. Percutaneous obliteration can be characterized as filling of the leakage site from outside the lymph vessel with no flow disruption, which contrasts with the conventional embolization approach via the cisterna chyli.
Department of Diagnostic Radiology, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan. qq4d52gf9@sirius.ocn.ne.jp
Chihiro
C
Itou
Jun
J
Koizumi
Kazunori
K
Myojin
Tomohiro
T
Yamashita
Naoko
N
Mori
Yutaka
Y
Imai
D000328:Adult; D018207:Angiomyolipoma / Q000175:diagnosis / Q000601:surgery*; D002915:Chylous Ascites / Q000000981:diagnostic imaging / Q000628:therapy*; D004659:Enbucrilate / Q000627:therapeutic use*; D004998:Ethiodized Oil / Q000627:therapeutic use*; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D007680:Kidney Neoplasms / Q000175:diagnosis / Q000601:surgery*; D008220:Lymphography; D009392:Nephrectomy; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000628:therapy*; D015641:Radiography, Interventional; D014057:Tomography, X-Ray Computed
D004998:Ethiodized Oil; D004659:Enbucrilate