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Direct Percutaneous Needle Puncture and Intrapulmonary Lymphatic Embolization for Treatment of Chylothorax in a Patient with Lymphoma

Authors :
Hwangbo Lee
Hoon Kwon
Chang Ho Jeon
Chang Won Kim
Source :
대한영상의학회지, Vol 81, Iss 5, Pp 1222-1226 (2020)
Publication Year :
2020
Publisher :
The Korean Society of Radiology, 2020.

Abstract

Lymphoma is a common cause of nontraumatic chylothorax. Clinical success rates of thoracic duct embolization are lower in patients with nontraumatic chylothorax compared to patients with traumatic chylothorax. Herein, we report a case of nontraumatic chylothorax and lymphoma in a 77-year-old man managed with thoracic duct embolization. The chest tube drainage decreased but not was sufficient to enable removal of the chest tube. Therefore, a second embolization was performed through a direct puncture of the lymphatic mass in the lung, following which the chyle leakage ceased, and the chest tube was removed. The treatment strategy discussed in this report may be an effective therapeutic option for select patients with nontraumatic chylothorax.

Details

Language :
English
ISSN :
22882928 and 17382637
Volume :
81
Issue :
5
Database :
OpenAIRE
Journal :
대한영상의학회지
Accession number :
edsair.doi.dedup.....60d8bf4834eaf66238392eba31ba4c1b