Maeda Y, Arima K, Matsuura H, Hayashi N, Yanagawa M, Kawamura J
Department of Urology, Faculty of Medicine, Mie University.
Hinyokika Kiyo. 1998 Jan;44(1):25-7.
A 45-year-old woman with left leg edema was admitted to our hospital because of chyluria from the previous year. Her left leg edema appeared after Caesarean section for her first delivery and hysterectomy at the age of 31. Because microfilaria was not detected, she was diagnosed with postoperative lymphangiomatosis. The instillation of 0.1-0.5% silver nitrate into the renal pelvis was not effective. We however, after percutaneous sclerotherapy to the left inguinal lymph nodes with doxycycline, the chyluria disappeared and her left leg edema improved. Then, the surplus skin of her left lower leg was resected. We considered percutaneous sclerotherapy to be a good procedure for chyluria due to postoperative lymphangiomatosis.
一名45岁的左腿水肿女性因前一年出现乳糜尿而入院。她的左腿水肿在31岁首次剖宫产和子宫切除术后出现。由于未检测到微丝蚴,她被诊断为术后淋巴管瘤病。向肾盂内灌注0.1 - 0.5%的硝酸银无效。然而,在用强力霉素对左腹股沟淋巴结进行经皮硬化治疗后,乳糜尿消失,左腿水肿有所改善。随后,切除了她左小腿多余的皮肤。我们认为经皮硬化治疗是治疗术后淋巴管瘤病所致乳糜尿的一种良好方法。