title: CT-Guided Intranodal Lymphangiography for Postoperative Chylous Ascites.
abstract: The utility and minimal invasiveness of ultrasound-guided intranodal lymphangiography have already been reported by several researchers. Although ultrasound-guided intranodal lymphangiography is known to be not technically difficult in general, a patient's edematous groin due to hypoalbuminemia resulting from chylous ascites made it too challenging to detect and prick the lymph nodes precisely. This report describes a 71-year-old female with refractory chylous ascites due to an operation for an extrahepatic bile duct cancer, who was successfully treated by computed tomography (CT)-guided intranodal lymphangiography. After switching from ultrasound- to CT-guided lymphangiography, the procedure was successfully performed, and the refractory chylous ascites was treated.
authors.affiliation: Department of Radiology, Shizuoka Medical Center, 762-1 Nagasawa, Shimizucho, Suntogun, Shizuoka Pref, Japan. hiratamasanori@hotmail.com.
authors.forename: Masanori
authors.initials: M
authors.lastname: Hirata
authors.affiliation: Department of Radiology, Shizuoka Medical Center, 762-1 Nagasawa, Shimizucho, Suntogun, Shizuoka Pref, Japan.
authors.forename: Atsuo
authors.initials: A
authors.lastname: Shimizu
authors.affiliation: Department of Radiology, Shizuoka Medical Center, 762-1 Nagasawa, Shimizucho, Suntogun, Shizuoka Pref, Japan.
authors.forename: Shoko
authors.initials: S
authors.lastname: Abe
authors.affiliation: Department of Radiology, Shizuoka Medical Center, 762-1 Nagasawa, Shimizucho, Suntogun, Shizuoka Pref, Japan.
authors.forename: Azusa
authors.initials: A
authors.lastname: Ichinose
authors.affiliation: Department of Radiology, Shizuoka Medical Center, 762-1 Nagasawa, Shimizucho, Suntogun, Shizuoka Pref, Japan.
authors.forename: Akira
authors.initials: A
authors.lastname: Sugiyama
authors.affiliation: Department of Surgery, Shizuoka Medical Center, 762-1 Nagasawa, Shimizucho, Suntogun, Shizuoka Pref, Japan.
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Tanino
authors.affiliation: Department of Surgery, Shizuoka Medical Center, 762-1 Nagasawa, Shimizucho, Suntogun, Shizuoka Pref, Japan.
authors.forename: Suguru
authors.initials: S
authors.lastname: Watanabe
authors.affiliation: Department of Surgery, Shizuoka Medical Center, 762-1 Nagasawa, Shimizucho, Suntogun, Shizuoka Pref, Japan.
authors.forename: Ryota
authors.initials: R
authors.lastname: Nakano
authors.affiliation: Department of Surgery, Shizuoka Medical Center, 762-1 Nagasawa, Shimizucho, Suntogun, Shizuoka Pref, Japan.
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Kato
authors.affiliation: Department of Surgery, Shizuoka Medical Center, 762-1 Nagasawa, Shimizucho, Suntogun, Shizuoka Pref, Japan.
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Miyahara
authors.affiliation: Department of Surgery, Shizuoka Medical Center, 762-1 Nagasawa, Shimizucho, Suntogun, Shizuoka Pref, Japan.
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Sumi
authors.affiliation: Department of Surgery, Shizuoka Medical Center, 762-1 Nagasawa, Shimizucho, Suntogun, Shizuoka Pref, Japan.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Nakano
mesh_terms: D000368:Aged; D001650:Bile Duct Neoplasms / Q000601:surgery*; D017734:Bile Ducts, Extrahepatic / Q000601:surgery*; D002915:Chylous Ascites / Q000000981:diagnostic imaging* / Q000628:therapy*; D005260:Female; D006801:Humans; D008198:Lymph Nodes / Q000000981:diagnostic imaging*; D008220:Lymphography / Q000379:methods*; D016577:Pancreaticoduodenectomy; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000628:therapy*; D015641:Radiography, Interventional / Q000379:methods*; D014057:Tomography, X-Ray Computed / Q000379:methods*
keywords: Chylothorax; Chylous ascites; Intranodal lymphangiography; Lipiodol; Pylorus-preserving pancreaticoduodenectomy