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  • Title: Post-lymphangiographic computed tomography in chylothorax after esophagogastrectomy: a case report.
    Author: Ginat DT, Sahler LG, Patel N, Saad WA, Waldman DL.
    Journal: Lymphology; 2009 Sep; 42(3):130-3. PubMed ID: 19927902.
    Abstract:
    Chylothorax is a rare complication of thoracic surgery. Lymphangiography has long been considered to be the standard of reference for diagnosis and post-treatment evaluation while the role of post-lymangiographic CT is debated. We report a case of chylothorax in a 68-year-old male following esophagogastrectomy for which conservative treatment and thoracic duct ligation failed. Lymphangiography performed after these attempts revealed persistent thoracic duct leakage into the right pleural space. Subsequent non-contrast CT and reformatted images clearly depicted the sources of leakage, and this documentation targeted direct percutaneous treatment. Unfortunately, the lack of access precluded the planned percutaneous CT-guided embolization of the thoracic duct. Nevertheless, this case suggests that post- lymphangiographic CT can serve as a value-added modality in the evaluation and potential treatment of chylothorax.
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