A case of acute respiratory distress syndrome due to lymphography with Lipiodol for chylothorax after esophagectomy

Background Lymphography with Lipiodol is useful for chylothorax. There were many slight complications, but reports of acute respiratory distress syndrome (ARDS) after lymphography were few. Case presentation A 75-year-old man with esophageal cancer developed chylothorax after esophagectomy. Conserva...

Full description

Saved in:
Bibliographic Details
Published in:Surgical case reports 2019-01, Vol.5 (1), p.1-1, Article 1
Main Authors: Taki, Yusuke, Sato, Shinsuke, Suzuki, Katsunori, Nagai, Erina, Watanabe, Masaya, Shishido, Yuichiro, Nakajima, Nobuaki, Takagi, Masakazu
Format: Article
Language:English
Subjects:
ARDS
Case Report
Esophagectomy
Lipiodol
Lymphography
Medicine
Medicine & Public Health
Surgery
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background Lymphography with Lipiodol is useful for chylothorax. There were many slight complications, but reports of acute respiratory distress syndrome (ARDS) after lymphography were few. Case presentation A 75-year-old man with esophageal cancer developed chylothorax after esophagectomy. Conservative treatment was ineffective, and he underwent lymphography with 8.5 mL of Lipiodol. He developed a high fever soon after lymphography, followed by severe ARDS requiring artificial respiration 5 days later. He recovered from ARDS but subsequently developed pulmonary fibrosis and was discharged with domiciliary oxygen therapy 3 months later. Conclusion Although ARDS is a rare complication of lymphography with Lipiodol, this procedure should be applied carefully in patients with chylothorax.
ISSN:2198-7793
2198-7793
DOI:10.1186/s40792-018-0560-y