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淋巴管造影和胸导管栓塞术治疗小儿乳糜胸:一例报告

Pediatric Chylothorax Treated With Lymphangiography and Thoracic Duct Embolization: A Case Report.

作者信息

Sangha Harneet, Savolainen Nathan G, Murrey Douglas A, Vergnani Jason S

机构信息

Interventional Radiology, Elson S. Floyd College of Medicine, Spokane, USA.

Interventional Radiology, Inland Imaging, Spokane, USA.

出版信息

Cureus. 2024 Jul 6;16(7):e63981. doi: 10.7759/cureus.63981. eCollection 2024 Jul.

DOI:10.7759/cureus.63981
PMID:39105012
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11299759/
Abstract

A chylothorax, the accumulation of lymphatic fluid in the pleural space, may occur for a variety of reasons. It is commonly seen in adults post-thoracic surgery. We present the case of a seven-month-old girl with a right-sided chylothorax in the setting of non-accidental trauma. Treatment options for a chylothorax include surgical ligation of the thoracic duct or, as in this case, a minimally invasive procedure performed by interventional radiology known as lymphangiography with thoracic duct embolization. This case highlights interventional radiologists' ability to treat complex lymphatic pathologies effectively with minimally invasive techniques.

摘要

乳糜胸是指胸膜腔内淋巴液积聚,其发生原因多种多样。常见于成人胸外科手术后。我们报告一例七个月大女童,在非意外创伤情况下出现右侧乳糜胸。乳糜胸的治疗选择包括胸导管手术结扎,或者如本病例采用的由介入放射科实施的微创操作,即淋巴管造影术联合胸导管栓塞术。该病例凸显了介入放射科医生运用微创技术有效治疗复杂淋巴系统疾病的能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed2d/11299759/03cabf94f7de/cureus-0016-00000063981-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed2d/11299759/5b43915f6675/cureus-0016-00000063981-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed2d/11299759/b5b17b57b540/cureus-0016-00000063981-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed2d/11299759/9f0a7c8b17a4/cureus-0016-00000063981-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed2d/11299759/a052e232d5a4/cureus-0016-00000063981-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed2d/11299759/c55a05e32ca3/cureus-0016-00000063981-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed2d/11299759/03cabf94f7de/cureus-0016-00000063981-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed2d/11299759/5b43915f6675/cureus-0016-00000063981-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed2d/11299759/b5b17b57b540/cureus-0016-00000063981-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed2d/11299759/9f0a7c8b17a4/cureus-0016-00000063981-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed2d/11299759/a052e232d5a4/cureus-0016-00000063981-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed2d/11299759/c55a05e32ca3/cureus-0016-00000063981-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed2d/11299759/03cabf94f7de/cureus-0016-00000063981-i06.jpg

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本文引用的文献

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Interventional treatment of refractory non-traumatic chylous effusions in patients with lymphoproliferative disorders.介入治疗淋巴增殖性疾病患者难治性非创伤性乳糜性积液。
Clin Exp Med. 2024 Mar 30;24(1):63. doi: 10.1007/s10238-024-01312-4.
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Thoracic Duct Embolization Using Transabdominal Antegrade and Transcervical Retrograde Accesses.经腹腔前路和经颈后路入路进行胸导管栓塞术。
J Vasc Interv Radiol. 2022 Dec;33(12):1536-1541. doi: 10.1016/j.jvir.2022.08.022. Epub 2022 Aug 24.
3
Chylothorax and Pseudochylothorax.乳糜胸和假性乳糜胸。
Clin Chest Med. 2021 Dec;42(4):667-675. doi: 10.1016/j.ccm.2021.08.003.
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Ethical challenges in child abuse: what is the harm of a misdiagnosis?儿童虐待中的伦理挑战:误诊的危害是什么?
Pediatr Radiol. 2021 May;51(6):1070-1075. doi: 10.1007/s00247-020-04845-4. Epub 2021 May 17.
5
Cervical chylous leakage following esophagectomy that was successfully treated by intranodal lipiodol lymphangiography: a case report.经皮淋巴结内碘油淋巴管造影术成功治疗食管癌切除术后颈段乳糜漏:一例报告
BMC Surg. 2017 Feb 28;17(1):20. doi: 10.1186/s12893-017-0218-x.
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Therapeutic effectiveness of diagnostic lymphangiography for refractory postoperative chylothorax and chylous ascites: correlation with radiologic findings and preceding medical treatment.诊断性淋巴造影术治疗难治性术后乳糜胸和乳糜性腹水的疗效:与影像学表现及先前治疗的相关性。
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Thoracic duct embolization for nontraumatic chylous effusion: experience in 34 patients.胸腔导管栓塞治疗非创伤性乳糜性积液:34 例患者的经验。
Chest. 2013 Jan;143(1):158-163. doi: 10.1378/chest.12-0526.
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Thoracic duct embolization for chylous leaks.胸导管栓塞术治疗乳糜漏
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