Department of Diagnostic Radiology, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan.
Jpn J Radiol. 2013 Jan;31(1):71-4. doi: 10.1007/s11604-012-0146-8. Epub 2012 Oct 13.
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.
我们在此报告一例肾切除术后并发不可控制乳糜性腹水的病例，该病例通过淋巴管造影时使用碘化油经皮闭塞淋巴囊肿样外渗而成功治疗。在计算机断层扫描和透视引导下，使用 N-丁基氰基丙烯酸酯-碘化油混合物和金属线圈闭塞淋巴管外漏部位。术后 5 天内，腹腔引流的量逐渐减少，随后拔除引流管。经皮闭塞可描述为从淋巴管外堵塞漏出部位，无血流中断，这与通过乳糜池的传统栓塞方法形成对比。
