Department of Radiology, 472028Riverside University Health System, Moreno Valley, CA, USA.
Vasc Endovascular Surg. 2022 Feb;56(2):225-228. doi: 10.1177/15385744211062317. Epub 2021 Dec 8.
Iodized oil-based lymphangiography (LAG) is a well-established diagnostic exam during the workup of postoperative lymphatic leaks. Computed tomography (CT) has been shown to be a useful complement to optimize treatment planning and can easily be performed after conventional LAG. The treatment options for lymphatic leaks include conservative dietary modification, sclerotherapy, embolization, and surgery. We present a case of a 48-year-old man who developed a symptomatic left retroperitoneal lymphatic fluid collection after left nephrectomy, complicated by postoperative retroperitoneal abscess. Retroperitoneal duct leak was confirmed via ultrasound-guided intranodal LAG and post-LAG CT. This leak was successfully managed with N-butyl cyanoacrylate glue embolization of the leaking lymphatics via fluoroscopic-guided catheterization of the leak via percutaneous access through the lymphatic fluid collection.
碘油淋巴造影术（LAG）是术后淋巴漏检查中的一种成熟的诊断方法。CT 已被证明是优化治疗计划的有用补充，并且可以在常规 LAG 后轻松进行。淋巴漏的治疗选择包括保守的饮食改变、硬化疗法、栓塞和手术。我们报告了一例 48 岁男性，在左肾切除术后出现左侧腹膜后淋巴液积聚的症状，并发术后腹膜后脓肿。通过超声引导下的淋巴结内 LAG 和 LAG 后的 CT 证实了腹膜后导管漏。通过经皮途径经淋巴液积聚的穿刺入路，通过荧光镜引导的导管对漏口进行了 N-丁基氰基丙烯酸酯胶栓塞，成功地治疗了这种漏。
