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CT-Guided Intranodal Lymphangiography for Postoperative Chylous Ascites
Masanori Hirata1, Atsuo Shimizu2, Shoko Abe2
1Department of Radiology, Shizuoka Medical Center, 762-1 Nagasawa, Shimizucho, Suntogun, Shizuoka Pref, Japan. hiratamasanori@hotmail.com.
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.