Kunze Georg, Staritz Martin
Department for Internal Medicine and Gastroenterology, Schwarzwald-Baar Klinikum Villingen-Schwenningen GmbH, Villingen-Schwenningen, Germany.
Kreisspital Surses, Savognin, Switzerland.
J Ultrasound Med. 2017 Sep;36(9):1955-1960. doi: 10.1002/jum.14249. Epub 2017 May 18.
Although thrombosis in the terminal part of thoracic duct has been described in patients with head and neck cancer and upper vein thrombosis, normally medical imaging is not successful in depicting such lymphatic thrombosis. This case series is about three patients with acute onset of cervical lymphedema following minor trauma or exceptional physical strain. Using high-resolution ultrasound, it was possible to detect a thrombus formation in the terminal parts of the thoracic duct or the lymph duct. Within a few weeks all patients recovered without relapse for several years.
尽管在头颈部癌症和上腔静脉血栓形成的患者中已描述过胸导管末端的血栓形成，但通常医学成像无法成功显示这种淋巴管血栓形成。本病例系列涉及三名患者，他们在轻微创伤或异常体力消耗后急性发作颈淋巴水肿。使用高分辨率超声，可以检测到胸导管或淋巴管末端的血栓形成。几周内，所有患者均康复，且数年未复发。
