Abstract
The utility and minimal invasiveness of ultrasound-guided intranodal lymphangiography have already been reported by several researchers. Although ultrasound-guided intranodal lymphangiography is known to be not technically difficult in general, a patient’s edematous groin due to hypoalbuminemia resulting from chylous ascites made it too challenging to detect and prick the lymph nodes precisely. This report describes a 71-year-old female with refractory chylous ascites due to an operation for an extrahepatic bile duct cancer, who was successfully treated by computed tomography (CT)-guided intranodal lymphangiography. After switching from ultrasound- to CT-guided lymphangiography, the procedure was successfully performed, and the refractory chylous ascites was treated.
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Acknowledgements
Masanori Hirata wish to thank the senior doctors of the Department of Radiology for encouraging me to publish this case report.
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Hirata, M., Shimizu, A., Abe, S. et al. CT-Guided Intranodal Lymphangiography for Postoperative Chylous Ascites. Cardiovasc Intervent Radiol 40, 1281–1284 (2017). https://doi.org/10.1007/s00270-017-1644-y
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DOI: https://doi.org/10.1007/s00270-017-1644-y