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http://dx.doi.org/10.1016/j.arbres.2016.10.002 | DOI Listing |
Eur Radiol
August 2025
Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
Objective: To demonstrate the optimized protocol for CT lymphangiography (CTL) and describe its performance in pediatric and adult patients with suspected thoracic duct injury.
Materials And Methods: Patients with suspected thoracic duct injury who underwent either CTL or dynamic contrast-enhanced MR lymphangiography (DCMRL) between August 2017 and July 2024 at a tertiary referral center were retrospectively evaluated. CTL and DCMRL were performed using inguinal lymph node cannulation.
A 60-year-old woman underwent treatment for breast cancer. She underwent thoracic drainage and was treated with dietary restriction for tumor-related chylothorax. However, after a lack of improvement, she underwent surgical ligation of the thoracic duct.
View Article and Find Full Text PDFBMC Surg
August 2025
Department of Vascular surgery, Suzhou Municipal Hospital, Gusu School, The Affiliated Suzhou Hospital of Nanjing Medical University, Nanjing Medical University, 26 Daoqian Road, Suzhou, Jiangsu, 215002, China.
Background: To investigate the effectiveness and safety of preoperative fat meal administration in patients undergoing thoracic duct reconstruction for chylous leakage due to thoracic duct outlet obstruction.
Methods: A retrospective study was conducted on 18 patients diagnosed with thoracic duct outlet obstruction who underwent thoracic duct reconstruction between January 2022 and August 2024. Patients were administered a fat meal before surgery.
Cureus
June 2025
Nursing and Midwifery Research, Hamad Medical Corporation, Doha, QAT.
Chylothorax is an uncommon condition resulting from the disruption or obstruction of the thoracic duct or its tributaries, leading to the accumulation of chyle in the pleural cavity. It can arise from both traumatic and non-traumatic causes. Non-traumatic etiologies include malignancies involving the mediastinum, followed by infections such as tuberculosis, connective tissue disorders (e.
View Article and Find Full Text PDFBMC Med Imaging
July 2025
Department of Congenital Heart Disease and Pediatric Cardiology, University Hospital Schleswig-Holstein, Arnold-Heller-Straße 3, Haus C, 24105, Kiel, Germany.
Background: Single ventricle (SV) Fontan patients are at risk for the development of pathological cervicothoracic lymphatic drainage pathways that are involved in the development of serious conditions such as plastic bronchitis or chylothorax. Visualization and categorization of cervicothoracic lymphatic drainage pathways might therefore help to stratify prognosis and to individualize therapy and follow-up for Fontan patients. This study aimed to show that the 3-dimensional (3D) modified Dixon (mDixon) steady state magnetic resonance (MR) angiography, commonly used to image cardiovascular anatomy, can visualize cervicothoracic lymphatic drainage pathways in high resolution in Fontan patients.
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