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Intranodal lymphangiography and interstitial lymphatic embolization to treat chyluria caused by a lymphatic malformation in a pediatric patient

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Abstract

Chyluria is characterized by chyle in the urinary tract and often presents as milky-white urine. We present a case of chyluria from a lymphatic malformation in a 13-year-old boy diagnosed using dynamic intranodal contrast-enhanced magnetic resonance (MR) lymphangiography. This report demonstrates the utility of intranodal lymphangiography and interstitial lymphatic embolization to treat a pediatric patient presenting with persistent chyluria. Glue migration into the urinary collecting system is a potential complication of this procedure that can be mitigated by adjusting the n-butyl cyanoacrylate dilution with Lipiodol.

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Authors and Affiliations

  1. Department of Radiology, University of Michigan, 1500 E. Medical Center Dr., UH B1 328, Ann Arbor, MI, 48109, USA

    Sharika Bamezai, Ryan M. Aronberg & Joseph J. Gemmete

  2. Department of Urology, University of Michigan, Ann Arbor, MI, USA

    John M. Park

Authors
  1. Sharika Bamezai
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  2. Ryan M. Aronberg
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  3. John M. Park
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  4. Joseph J. Gemmete
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Correspondence to Joseph J. Gemmete.

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Bamezai, S., Aronberg, R.M., Park, J.M. et al. Intranodal lymphangiography and interstitial lymphatic embolization to treat chyluria caused by a lymphatic malformation in a pediatric patient. Pediatr Radiol 51, 1762–1765 (2021). https://doi.org/10.1007/s00247-021-05007-w

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  • DOI: https://doi.org/10.1007/s00247-021-05007-w

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