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Pediatric Chylothorax Treated With Lymphangiography and Thoracic Duct Embolization: A Case Report
Harneet Sangha1, Nathan G Savolainen1, Douglas A Murrey2
1Interventional Radiology, Elson S. Floyd College of Medicine, Spokane, USA.
Insights
Chylothorax, lymphatic fluid in the chest, can occur in infants due to trauma. Minimally invasive lymphangiography with thoracic duct embolization offers an effective treatment option for this condition.
Area of Science:
- Pediatric Medicine
- Interventional Radiology
- Thoracic Surgery
Background:
- Chylothorax, characterized by lymphatic fluid accumulation in the pleural space, is a rare condition in infants.
- While commonly associated with post-thoracic surgery in adults, pediatric cases can stem from diverse etiologies, including trauma.
Abstract:
A chylothorax, the accumulation of lymphatic fluid in the pleural space, may occur for a variety of reasons. It is commonly seen in adults post-thoracic surgery. We present the case of a seven-month-old girl with a right-sided chylothorax in the setting of non-accidental trauma. Treatment options for a chylothorax include surgical ligation of the thoracic duct or, as in this case, a minimally invasive procedure performed by interventional radiology known as lymphangiography with thoracic duct embolization. This case highlights interventional radiologists' ability to treat complex lymphatic pathologies effectively with minimally invasive techniques.
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Description
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