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  • Title: CT-Guided Intranodal Lymphangiography for Postoperative Chylous Ascites.
    Author: Hirata M, Shimizu A, Abe S, Ichinose A, Sugiyama A, Tanino Y, Watanabe S, Nakano R, Kato Y, Miyahara T, Sumi Y, Nakano H.
    Journal: Cardiovasc Intervent Radiol; 2017 Aug; 40(8):1281-1284. PubMed ID: 28382389.
    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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