Kitagawa Sho, Ishikawa Shori, Misawa Hiraku
Department of Gastroenterology, Sapporo Kosei General Hospital.
Nihon Shokakibyo Gakkai Zasshi. 2021;118(8):786-790. doi: 10.11405/nisshoshi.118.786.
An 80-year-old woman presented with acute abdominal pain and distention. A diagnosis of acute chylous peritonitis was made via contrast-enhanced computed tomography and abdominal paracentesis. She underwent ultrasound-guided intranodal lymphangiography with Lipiodol (IL with Lipiodol), and her persistent abdominal pain was significantly reduced within a day. Moreover, her ascitic fluid showed marked improvement and paracentesis was no longer needed. Based on the findings of the study, IL with Lipiodol could be a promising minimally invasive approach in the treatment of acute chylous peritonitis.
一名80岁女性因急性腹痛和腹胀就诊。通过增强计算机断层扫描和腹腔穿刺术诊断为急性乳糜性腹膜炎。她接受了超声引导下用碘油进行的结内淋巴管造影（碘油淋巴管造影），一天内持续的腹痛明显减轻。此外，她的腹水有显著改善，不再需要进行腹腔穿刺术。基于该研究结果，碘油淋巴管造影可能是治疗急性乳糜性腹膜炎的一种有前景的微创方法。
