Sanampudi Sreeja, Krohmer Steven, Raissi Driss
University of Kentucky College of Medicine, 800 Rose St MN 150, Lexington, KY, 40536 USA.
University of Kentucky, Department of Radiology, 800 Rose St, Lexington, KY, 40536 USA.
Radiol Case Rep. 2019 Mar 7;14(5):608-612. doi: 10.1016/j.radcr.2019.02.021. eCollection 2019 May.
Chylous ascites can be caused by infection, trauma, malignancy, or maybe a complication after major abdominal surgery including liver transplantation. We present a case of a patient who developed chylous ascites following his liver transplantation. He was subsequently treated with direct embolization of lymphatic trunk efferent branches with a mixture of N-butyl cyanoacrylate and lipiodol after the identification of a localized leak on a fluoroscopic lymphangiogram. To our knowledge, this is the first reported case of chylous ascites following liver transplantation that was treated with direct embolization of intestinal lymphatic trunk branches.
乳糜性腹水可由感染、创伤、恶性肿瘤引起，也可能是包括肝移植在内的腹部大手术后的并发症。我们报告一例肝移植后发生乳糜性腹水的患者。在荧光透视淋巴管造影发现局部渗漏后，随后用氰基丙烯酸正丁酯和碘油混合物对淋巴管主干传出分支进行直接栓塞治疗。据我们所知，这是首例报道的肝移植后乳糜性腹水经肠道淋巴管主干分支直接栓塞治疗的病例。
