van Schaik Caroline J, Janssen Jan Jaap, van der Vleuten Carine J M, Te Loo Maroeska W M, Schultze Kool Leo J, Klein Willemijn M
Ned Tijdschr Geneeskd. 2022 Mar 21;166:D6190.
The central lymphatic system consists of the thoracic duct, cisterna chyli and the retroperitoneal lymphatics through which lymph and chyle flows. Disorders of the central lymphatic system can for instance lead to leakage (chylothorax), accumulation of fluid (lymphedema) and retrograde flow (protein losing enteropathy). Abnormalities in the central lymphatic system were overlooked for years, followed by lack of diagnostic and therapeutic options. This has changed, as the technique of intranodal contrast injection in inguinal lymph nodes brought renewed interest in the central lymphatic system. In this article, the importance of intranodal contrast injection in diagnosis and treatment of disorders of the central lymphatic system will be presented through 3 clinical cases.
中央淋巴系统由胸导管、乳糜池和腹膜后淋巴管组成，淋巴和乳糜液通过这些结构流动。中央淋巴系统的紊乱例如可导致渗漏（乳糜胸）、液体蓄积（淋巴水肿）和逆流（蛋白丢失性肠病）。多年来，中央淋巴系统的异常一直被忽视，随之而来的是缺乏诊断和治疗选择。这种情况已经改变，因为腹股沟淋巴结内注射造影剂的技术重新引发了人们对中央淋巴系统的兴趣。在本文中，将通过3个临床病例介绍腹股沟淋巴结内注射造影剂在中央淋巴系统疾病诊断和治疗中的重要性。
