Ultrasound-Guided Intranodal Lymphangiography With Ethiodized Oil to Treat Chylous Ascites.
A 70-year-old man presented with abdominal distention and pain. A diagnosis of chylous ascites (CA) was made by abdominal paracentesis. Conservative treatment had failed to control CA; therefore, ultrasound-guided intranodal lymphangiography (UIL) with Lipiodol was performed. No obvious Lipiodol leakage was observed in the follow-up computed tomography; however, the persistent abdominal pain was significantly reduced within a day, and CA was resolved within 3 days. We present successful treatment of CA using UIL with Lipiodol. The combination of the technique of UIL and therapeutic lymphangiography with Lipiodol is a promising minimally invasive treatment option for CA.
Department of Gastroenterology, Sapporo Kosei General Hospital, Sapporo, Japan.
Sho
S
Kitagawa
Department of Radiology, Sapporo Kosei General Hospital, Sapporo, Japan.
Wataru
W
Sakai
Department of Radiology, Sapporo Kosei General Hospital, Sapporo, Japan.
Takashi
T
Hasegawa