Lipiodol embolization for chylous leak complication post robotic-assisted para-aortic lymph node resection

Thoracic or abdominal chylous leakage, a rare complication of lymph node removal procedures, can lead to the accumulation of lymph fluid within the abdominal cavity, resulting in chylous ascites, abdominal distension, discomfort, and an increased risk of infection. Lipiodol lymphangiography, a diagn...

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Bibliographic Details
Published in:Radiology case reports 2024-03, Vol.19 (3), p.906-909
Main Authors: Shamsuddin Perisamy, Rajeev, Rusli, Rusli Zaim, Kamis, Mohd Fandi, Tharek, Anas, Soo, Tze Hui
Format: Article
Language:English
Subjects:
Chylous leak complication
Lipiodol embolization
Lymph node metastasis
Lymphangiogram
Robotic-assisted lymph node resection
Testicular carcinoma
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Summary:Thoracic or abdominal chylous leakage, a rare complication of lymph node removal procedures, can lead to the accumulation of lymph fluid within the abdominal cavity, resulting in chylous ascites, abdominal distension, discomfort, and an increased risk of infection. Lipiodol lymphangiography, a diagnostic procedure utilizing a unique contrast agent, serves to identify the site and cause of chylous leaks. Furthermore, it functions as a therapeutic tool by injecting Lipiodol into the affected lymphatic vessel. By employing this diagnostic procedure, successful closure of the leak can be achieved. We present a case where a chylous leak was effectively treated with Lipiodol injection following the robotic-assisted removal of metastatic lymph nodes surgery.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2023.11.074