Jardinet Thomas, Verbeke Len, Bonne Lawrence, Maleux Geert
Department of Radiology, University Hospitals Leuven, Leuven, Belgium.
Department of Gastroenterology and Hepatology, University Hospitals Leuven, Leuven, Belgium.
J Gastrointestin Liver Dis. 2018 Jun;27(2):195-197. doi: 10.15403/jgld.2014.1121.272.the.
Chylous ascites is a rare complication of acute pancreatitis. However, the incidence of intraperitoneal chyle leakage related to severe pancreatitis may be much higher. This is probably the result of direct damage to the cisterna chyli or its tributaries by pancreatic enzymes. In this case, conservative treatment failed to resolve the chyle leak. For the first time, to our knowledge, ultrasound guided therapeutic intranodal lymphangiography was shown to be a successful, minimally invasive treatment option in chylous ascites complicating acute necrotic pancreatitis.
乳糜性腹水是急性胰腺炎的一种罕见并发症。然而，与重症胰腺炎相关的腹腔内乳糜漏发生率可能要高得多。这可能是胰酶对乳糜池或其分支造成直接损伤的结果。在这种情况下，保守治疗未能解决乳糜漏问题。据我们所知，超声引导下治疗性淋巴结造影首次被证明是治疗急性坏死性胰腺炎并发乳糜性腹水的一种成功的微创治疗选择。
