CardioVascular and Interventional Radiology

, Volume 37, Issue 4, pp 1103–1106

CT-guided Injection of N-butyl Cyanoacrylate Glue for Treatment of Chylous Leak after Aorto-mesenteric Bypass


    • Department of RadiologyUniversity of Pittsburgh Medical Center
  • Ernesto Santos
    • Department of RadiologyUniversity of Pittsburgh Medical Center
  • Kevin McCluskey
    • Department of RadiologyUniversity of Pittsburgh Medical Center
  • Geetha Jeyabalan
    • Division of Vascular SurgeryUniversity of Pittsburgh Medical Center
Case Report

DOI: 10.1007/s00270-013-0811-z

Cite this article as:
Ching, K.C., Santos, E., McCluskey, K. et al. Cardiovasc Intervent Radiol (2014) 37: 1103. doi:10.1007/s00270-013-0811-z


Lymphangiography and thoracic duct embolization are well-described techniques for the diagnosis and treatment of thoracic lymphatic leaks refractory to conservative treatment. However, thoracic duct embolization is not an option in patients with abdominal chylous leaks. The present report describes a 68-year-old man who underwent an aortomesenteric bypass complicated by a high-output postoperative chylothorax (>2,000 ml/day) and chylous ascites (>7,000 ml/paracentesis). Ultrasound-guided intranodal lymphangiography demonstrated a retroperitoneal lymphatic leak tracking along the vascular graft into the peritoneal cavity. Computed tomography-guided lymphatic duct occlusion with N-butyl cyanoacrylate glue was performed, resulting in successful treatment of both chylothorax and chylous ascites.


Chylous ascitesLymphangiographyLymphatic leaksN-Butyl cyanoacrylate

Copyright information

© Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2013