Zelikovski A, Haddad M, Stelman E, Koren A, Loewinger J
Department of Vascular Surgery, Beilinson Medical Center, Petah Tiqva, Israel.
Lymphology. 1995 Dec;28(4):186-8.
Chylous discharge into cavities or skin is rare and usually arises after operations in the vicinity of the cisterna chyli (secondary chylous reflux). When chylous discharge is primary, however, chylous reflux has usually been present since birth probably as a consequence of obstruction to lymph flow at or above the cistern chyli. We report a patient who had had chylous reflux into lacerated skin in a lymphedematous thigh for more than 30 years. The condition was successfully managed using both operative and non-operative methods.
乳糜液流入体腔或皮肤的情况较为罕见,通常发生在乳糜池附近的手术后(继发性乳糜反流)。然而,当乳糜液流出是原发性时,乳糜反流通常自出生就已存在,这可能是由于乳糜池或其上方淋巴液流动受阻所致。我们报告了一名患者,其患有乳糜反流,乳糜液流入大腿部淋巴水肿皮肤的裂伤处达30多年。采用手术和非手术方法成功治疗了该疾病。