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Published on: May 7, 2015
Refractory chylothorax in hepatic cirrhosis: successful treatment by transjugular intrahepatic portosystemic shunt
Olivier Vignaux1, Hervé Gouya, Bertrand Dousset
1Department of Radiology, Hôpital Cochin, Paris, France. olivier.vignaux@cch.ap-hop-paris.fr
Abstract:
Patients with cirrhosis and portal hypertension have increased thoracic duct lymph flow. Correction of portal hypertension is associated with decreases in thoracic duct flow. The authors present a case of rapid resolution of refractory chylothorax caused by thoracic duct injury proven by lymphangiography and helical CT scan in a patient with cirrhosis of the liver by using a transjugular intrahepatic portosystemic shunt to decrease portal pressure and thereby reduce thoracic duct lymph flow.

