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Lipiodol embolization for chylous leak complication post robotic-assisted para-aortic lymph node resection
Rajeev Shamsuddin Perisamy1, Rusli Zaim Rusli2, Mohd Fandi Kamis3
1Department of Radiology, Kulliyyah of Medicine, International Islamic University Malaysia, Kuantan, Pahang, Malaysia.
Radiology Case Reports
|January 8, 2024
Summary
Chylous leakage after lymph node removal can cause ascites. Lipiodol lymphangiography successfully diagnosed and treated a chylous leak following robotic surgery.
Area of Science:
- Surgical Oncology
- Interventional Radiology
- Gastroenterology
Background:
- Chylous leakage is a rare but serious complication after lymph node dissection.
- It can lead to chylous ascites, increasing infection risk and patient discomfort.
- Accurate diagnosis and effective treatment are crucial for managing this complication.
Observation:
- A case of thoracic or abdominal chylous leakage occurred post-robotic-assisted lymph node removal.
- The patient presented with symptoms indicative of lymph fluid accumulation.
- Lipiodol lymphangiography was utilized for both diagnostic and therapeutic purposes.
Findings:
- Lipiodol lymphangiography precisely identified the site and cause of the chylous leak.
- Direct injection of Lipiodol into the affected lymphatic vessel facilitated leak closure.
- This minimally invasive approach proved effective in resolving the chylous leakage.
Implications:
- Lipiodol lymphangiography offers a dual diagnostic and therapeutic solution for chylous leaks.
- This technique can be successfully applied in the context of robotic-assisted surgery complications.
- It presents a valuable option for managing post-lymphadenectomy chylous ascites, improving patient outcomes.
