BJR
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
British Journal of Radiology (2005) 78, 854-857
© 2005 British Institute of Radiology
doi: 10.1259/bjr/61177542
This Article
Right arrow Abstract Freely available
Right arrow Full Text
Right arrow Full Text (PDF)
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Yamagami, T
Right arrow Articles by Nishimura, T
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Yamagami, T
Right arrow Articles by Nishimura, T

Spontaneous healing of chyle leakage after lymphangiography

T Yamagami, MD, PhD 1 T Masunami, MD 1 T Kato, MD 1 O Tanaka, MD 1 T Hirota, MD 1 T Nomoto, MD, PhD 2 K Mikami, MD, PhD 2 T Miki, MD, PhD 2 and T Nishimura, MD, PhD 1

Departments of 1 Radiology and 2 Urology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-chyo, Kawaramachi-Hirokoji, Kamigyo, Kyoto, 602-8566, Japan




View larger version (183K):

[in a new window]
  		Figure 1. A 34-year-old man with chylous ascites as a complication of retroperitoneal lymphoidectomy. (a) Roentgenogram obtained 1 h after initiating administration of contrast agent for lymphangiography shows contrast pooling at the level of the fifth lumbar vertebrae close to the left common iliac lymph vessels, which might show leakage of contrast agent (arrowhead) from the left common iliac lymph vessels (arrows). (b) Unenhanced CT image obtained 3 h after completion of injection of contrast agent for lymphangiography revealed contrast pooling in the retroperitoneum (arrowhead) and ascitic fluid in the right iliac fossa (thick arrow). Contrast distributed anterior to the fifth lumbar vertebrae (arrowhead) might be due to leakage from the left common iliac lymph vessels. Note that a large amount of collected fluid is evident in the abdominal cavity (thin arrow). (c, d) Roentgenogram obtained the day following lymphangiography revealed that the contrast agent in the lymphatic vessel of the left side did not ascend beyond the level of the fifth lumbar vertebrae and that the area of the leaked contrast agent had increased (arrowhead). Note that leaked contrast agent distributed in the retroperitoneal space at the left side from the level of the fifth lumbar vertebrae to the level of the second lumbar vertebrae (arrows). (e) Enhanced CT image obtained 19 days after lymphangiography shows no fluid collected in the abdominal space and an encapsulated cystic mass that contains some contrast agent peripherally in the retroperitoneal space at the ventral site of the lumbar vertebrae (arrowhead). The area of encapsulated cystic mass is consistent with the area of leakage from the left common iliac lymph vessel as shown on previous lymphangiography. Note that contrast agent injected at the time of lymphangiography remained in the bilateral common and external iliac lymph vessels with the exception of the left common iliac area above the level of the fifth lumbar vertebrae.

 




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
BJR DMFR IMAGING  ALL BIR JOURNALS 
Copyright © 2005 by the British Institute of Radiology.