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选择性淋巴管栓塞成功治疗术后乳糜性腹水:病例报告及文献综述

Postoperative chylous ascites successfully managed by selective lymphatic embolization: Case report and literature review.

作者信息

Cuong Nguyen Ngoc, Van Anh Nguyen Thanh, Linh Le Tuan, Hoa Tran Quoc

机构信息

Diagnostic Imaging and Interventional Center, Hanoi Medical University Hospital, No1, Ton That Tung, Dong Da, Hanoi, Vietnam.

Department of Radiology, Hanoi Medical University, Hanoi, Vietnam.

出版信息

Radiol Case Rep. 2024 Dec 3;20(2):1189-1193. doi: 10.1016/j.radcr.2024.11.007. eCollection 2025 Feb.

Abstract

Postoperative chylous ascites is a rare complication following retroperitoneal surgeries, presenting significant challenges in diagnosis and management. Retroperitoneal cyst surgery resulting in chylous leaks is an uncommon complication that has not been previously reported in the literature. Therefore, we report a clinical case of postoperative chylous ascites following retroperitoneal cyst removal with underlying idiopathic thoracic duct obstruction. This case report details the clinical features and imaging characteristics, as well as provides insights into the diagnosis of chylous leaks and the management of selective embolization of the lymphatic branches in the lumbar region.

摘要

术后乳糜性腹水是腹膜后手术罕见的并发症,在诊断和处理上面临重大挑战。腹膜后囊肿手术导致乳糜漏是一种罕见的并发症,此前文献中尚无报道。因此,我们报告一例腹膜后囊肿切除术后伴特发性胸导管梗阻的乳糜性腹水临床病例。本病例报告详细描述了临床特征和影像学特点,并对乳糜漏的诊断及腰区淋巴管分支选择性栓塞处理提供了见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c34c/11652851/924fe712e028/gr1.jpg

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