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Related Experiment Videos

Chylous metrorrhea.

J A Jimenez Cossio, P San Martin

    Lymphology
    |September 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    A rare case of primary chylous metrorrhea in a child was successfully treated with surgery. Lymphatic abnormalities were identified and surgically corrected, resolving the condition.

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    Area of Science:

    • Pediatric Surgery
    • Vascular Surgery
    • Gynecology

    Background:

    • Chylous metrorrhea is a rare condition characterized by the discharge of chyle from the uterus.
    • Primary (idiopathic) chylous metrorrhea has an unknown cause and is exceptionally uncommon in pediatric patients.

    Observation:

    • A nine-year-old girl presented with primary chylous metrorrhea.
    • Diagnostic imaging, including dorsal pedal lymphangiography, revealed extravasation from retroperitoneal lymphatics into the vaginal vault.
    • Associated bony abnormalities in the lumbosacral vertebrae were also noted.

    Findings:

    • Surgical intervention via transperitoneal lymphangiectomy was performed.
    • The patient remained asymptomatic nineteen months post-surgery, indicating successful treatment.

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  • The lymphatic leakage was presumed to be the cause of the metrorrhea.

    • Implications:

    • This case highlights the successful surgical management of primary chylous metrorrhea in a pediatric patient.
    • It underscores the importance of identifying and addressing lymphatic abnormalities in managing this rare condition.
    • The findings suggest that lymphangiectomy can be an effective treatment for chylous metrorrhea secondary to lymphatic extravasation.