Chylothorax treated with targeted sclerotherapy by direct puncture of the lymphatic leakage site

Masamichi Takahashi, MD; Masanori Inoue, MD, PhD; Tomoki Wada, MD, PhD; Go Kawai, MD; Munetaka Machida, MD; Yujiro Matsuoka, MD, PhD

Radiology Case Reports (Aug 2020)

Chylothorax treated with targeted sclerotherapy by direct puncture of the lymphatic leakage site

Masamichi Takahashi, MD,
Masanori Inoue, MD, PhD,
Tomoki Wada, MD, PhD,
Go Kawai, MD,
Munetaka Machida, MD,
Yujiro Matsuoka, MD, PhD

Affiliations

Masamichi Takahashi, MD: Department of Radiology, Tokyo Metropolitan Bokutoh Hospital, 4-23-15 Kotobashi, Sumida-ku, Tokyo 130-8575, Japan; Corresponding author.
Masanori Inoue, MD, PhD: Department of Diagnostic Radiology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan
Tomoki Wada, MD, PhD: Department of Radiology, Tokyo Metropolitan Bokutoh Hospital, 4-23-15 Kotobashi, Sumida-ku, Tokyo 130-8575, Japan
Go Kawai, MD: Department of Radiology, Tokyo Metropolitan Bokutoh Hospital, 4-23-15 Kotobashi, Sumida-ku, Tokyo 130-8575, Japan
Munetaka Machida, MD: Department of Radiology, Tokyo Metropolitan Bokutoh Hospital, 4-23-15 Kotobashi, Sumida-ku, Tokyo 130-8575, Japan
Yujiro Matsuoka, MD, PhD: Department of Radiology, Tokyo Metropolitan Bokutoh Hospital, 4-23-15 Kotobashi, Sumida-ku, Tokyo 130-8575, Japan

Journal volume & issue: Vol. 15, no. 8
pp. 1398 – 1402

Abstract

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We report a novel application of targeted sclerotherapy to eradicate high-output chylothorax. The patient underwent thoracic duct embolization; however, cannulation of the thoracic duct failed, and thoracic duct disruption was performed. Leakage continued; therefore, the leakage site in the mediastinum was punctured directly under fluoroscopic guidance and a drainage catheter was inserted, followed by sclerotherapy using OK-432. Finally, leakage stopped and chylothorax improved. This technique may be useful for refractory chylothorax in patients where thoracic duct embolization fails.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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