CHYLOUS ASCITES AND CHYLOUS PLEURISY, IN A CASE OF LYMPHOCYTOMA INVOLVING THE THORACIC DUCT

1907 ◽  
Vol 134 (5) ◽  
pp. 634-643 ◽  
Author(s):  
GEORGE DOCK
Keyword(s):  
Thoracic Duct ◽  
Chylous Ascites

Reticuloendothelial System: Vascular, Nonvascular, and Oncologic

2018 ◽  
pp. 626-638
Author(s):  
Ernesto Santos ◽  
Joshua Pinter ◽  
Kevin McCluskey
Keyword(s):  
Thoracic Duct ◽  
Therapeutic Option ◽  
Chylous Ascites ◽  
Reticuloendothelial System ◽  
Arterial Aneurysm ◽  
Phagocytic Cells ◽  
Splenic Neoplasm ◽  
Lymphatic Fistula ◽  
Splenic Biopsy ◽  
Clinical Conditions

The reticuloendothelial system is the portion of the immune system consisting of phagocytic cells found in reticular connective tissue in the spleen, liver, lungs, bone marrow, and lymph nodes. For the purposes of this chapter, the discussion will be limited to interventions within the spleen and the lymphatic system. Splenic arterial interventions are performed to treat a variety of clinical conditions, including abdominal trauma, hypersplenism, splenic arterial aneurysm/pseudoaneurysm, portal hypertension, and splenic neoplasm, and they provide an alternative to open surgery. Although not commonly performed, percutaneous splenic biopsy and drainage are relatively safe and efficacious procedures. Lymphangiography is a therapeutic option for patients with chylothorax, chylous ascites, and lymphatic fistula. Percutaneous thoracic duct embolization (TDE) is an alternative to surgical ligation of the thoracic duct (TD).

scholarly journals First successful case of percutaneous transabdominal thoracic duct embolization (PTTDE) for chylous ascites resulting from laparoscopic gastric cancer surgery

2021 ◽  
Author(s):  
Hideyuki Yokokawa ◽  
Takao Katsube ◽  
Miki Miyazawa ◽  
Ryohei Nishiguchi ◽  
Shinichi Asaka ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Thoracic Duct ◽  
Distal Gastrectomy ◽  
Oral Intake ◽  
Chylous Ascites ◽  
Albumin Concentration ◽  
Serum Albumin Concentration ◽  
Node Dissection ◽  
Gastric Cancer Surgery ◽  
Successful Case

AbstractA 61-year-old woman underwent laparoscopy-assisted distal gastrectomy (LADG) with extragastric lymph node dissection (D2). Two months later, she was readmitted to hospital to be treated for chylous ascites. Oral intake was discontinued and total parenteral nutrition started, but increasing body weight and decreasing serum albumin concentration was not controllable. Percutaneous transabdominal thoracic duct embolization (PTTDE) was performed on the 8th day after the readmission. Five days after PTTDE, oral intake was resumed. Seventeen days after PTTDE, the patient was discharged without recurrence of ascites. She has remained asymptomatic. We describe here the first patient with chylous ascites two months after LADG with D2 dissection for early gastric cancer who was successfully treated by PTTDE.

Chylous Ascites: A Rare Complication of Thoracic Duct Embolization for Chylothorax

2010 ◽  
Vol 34 (S2) ◽  
pp. 245-249 ◽  
Author(s):  
Ron C. Gaba ◽  
Charles A. Owens ◽  
James T. Bui ◽  
Tami C. Carrillo ◽  
M. Grace Knuttinen
Keyword(s):  
Thoracic Duct ◽  
Rare Complication ◽  
Chylous Ascites

Retrograde Cannulation of the Thoracic Duct and Embolization of the Cisterna Chyli in the Treatment of Chylous Ascites

2008 ◽  
Vol 19 (2) ◽  
pp. 285-290 ◽  
Author(s):  
Derek Mittleider ◽  
Thomas A. Dykes ◽  
Kenneth P. Cicuto ◽  
Steven M. Amberson ◽  
Charles R. Leusner
Keyword(s):  
Thoracic Duct ◽  
Chylous Ascites ◽  
Cisterna Chyli

scholarly journals Transabdominal Approach for Chylorrhea after Esophagectomy by Using Fluorescence Navigation with Indocyanine Green

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Takeshi Matsutani ◽  
Atsushi Hirakata ◽  
Tsutomu Nomura ◽  
Nobutoshi Hagiwara ◽  
Akihisa Matsuda ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Conservative Treatment ◽  
Indocyanine Green ◽  
Thoracic Duct ◽  
Conservative Therapy ◽  
Chylous Ascites ◽  
Advanced Esophageal Cancer ◽  
Radical Esophagectomy ◽  
Transabdominal Approach ◽  
The Right

A 70-year-old man who underwent two sessions of thoracoscopy-assisted ligation of the thoracic duct to treat refractory chylorrhea after radical esophagectomy for advanced esophageal cancer received conservative therapy. However, there was no improvement in chylorrhea. Then, transabdominal ligation of the lymphatic/thoracic duct at the level of the right crus of the diaphragm was performed using fluorescence navigation with indocyanine green (ICG). The procedure successfully reduced chylorrhea. This procedure provides a valid option for persistent chylothorax/chylous ascites accompanied by chylorrhea with no response to conservative treatment, transthoracic ligation, or both.

Chylous ascites following radical nephrectomy: efficiency of octreotide as treatment of a ruptured thoracic duct

2000 ◽  
Vol 26 (4) ◽  
pp. 484-485 ◽  
Author(s):  
M. Ferrandière ◽  
E. Hazouard ◽  
V. Guicheteau ◽  
A. Gouchet ◽  
M. Bensenouci ◽  
...  
Keyword(s):  
Thoracic Duct ◽  
Radical Nephrectomy ◽  
Chylous Ascites

scholarly journals Thoracic duct lymphangioma and chylous ascites in a 24-year-old female

2021 ◽  
Vol 11 ◽  
pp. e2021290
Author(s):  
Larissa Moreira Galvão Bello ◽  
Vitorino Modesto dos Santos ◽  
Márcia Mayumi Marques Suzuki ◽  
Naiara Regina Siqueira ◽  
Fernanda Gonçalves Reis
Keyword(s):  
Thoracic Duct ◽  
Chylous Ascites

Peritoneoatrial Shunting for Intractable Chylous Ascites Complicating Thoracic Duct Ligation

2009 ◽  
Vol 87 (5) ◽  
pp. 1601-1603 ◽  
Author(s):  
Françoise Le Pimpec-Barthes ◽  
Minh Pham ◽  
Jérome Jouan ◽  
Alain Bel ◽  
Jean-Noël Fabiani ◽  
...  
Keyword(s):  
Thoracic Duct ◽  
Chylous Ascites ◽  
Thoracic Duct Ligation ◽  
Duct Ligation

Percutaneous Balloon Plasty for Thoracic Duct Occlusion in a Patient with Chylothorax and Chylous Ascites

2019 ◽  
Vol 42 (5) ◽  
pp. 779-783
Author(s):  
Shuji Kariya ◽  
Miyuki Nakatani ◽  
Yasuyuki Ono ◽  
Takuji Maruyama ◽  
Yutaka Ueno ◽  
...  
Keyword(s):  
Thoracic Duct ◽  
Chylous Ascites ◽  
Percutaneous Balloon ◽  
Duct Occlusion

scholarly journals Sarcoidosis with secondary recurrent right-sided chylothorax and chylous ascites in a Caucasian male patient

2021 ◽  
Vol 2021 (10) ◽  
Author(s):  
Sujaay Hari Jagannathan ◽  
Caleb M Winn ◽  
Arun P Nayar ◽  
Ghassan J Koussa ◽  
Carol A Brenner
Keyword(s):  
Thoracic Duct ◽  
Mediastinal Lymph Node ◽  
Chylous Ascites ◽  
Lymph Node Biopsy ◽  
Surgical Trauma ◽  
Surgical Interventions ◽  
Caucasian Male ◽  
Fluid Analysis ◽  
Thoracic Duct Ligation ◽  
Duct Ligation

ABSTRACT Sarcoidosis is a rare multisystem autoimmune disease characterized by the presence of non-caseating granulomas in involved organs. We report a novel case of a 61-year-old Caucasian male with sarcoidosis presenting with recurrent chylothorax and chylous ascites. Pleural and ascitic fluid analysis revealed high triglyceride levels, consistent with chylothorax and chylous ascites, respectively. Common etiologies of chylous fluid such as thoracic duct surgical trauma, malignancy and infection were all excluded. Sarcoidosis was confirmed by the presence of non-caseating granulomas on a mediastinal lymph node biopsy. Conservative treatment with low-fat diet, prednisone, octreotide and multiple thoracenteses failed to effectively resolve the chylothorax. Surgical interventions with pleurodesis and thoracic duct ligation were performed, leading to the complete resolution of the chylous effusion and ascites.

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