Giant mediastinal lymphocele after esophagectomy successfully treated with thoracic duct embolization

Peng-Xu Ding, MD, PhD; Chao Liu, MD; Hui-Bin Lu, MD; Ling Wang, MD; Zong-Ming Li, MD; Edward Wolfgang Lee, MD, PhD, FSIR

Journal of Vascular Surgery Cases and Innovative Techniques (Jun 2021)

Giant mediastinal lymphocele after esophagectomy successfully treated with thoracic duct embolization

Peng-Xu Ding, MD, PhD,
Chao Liu, MD,
Hui-Bin Lu, MD,
Ling Wang, MD,
Zong-Ming Li, MD,
Edward Wolfgang Lee, MD, PhD, FSIR

Affiliations

Peng-Xu Ding, MD, PhD: Department of Intervention, First Affiliated Hospital of Zhengzhou University, Zhengzhou, China; Correspondence: Peng-Xu Ding, MD, PhD, Department of Intervention, First Affiliated Hospital of Zhengzhou University, No. 1, East Jian She Rd, Zhengzhou, China
Chao Liu, MD: Department of Intervention, First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
Hui-Bin Lu, MD: Department of Intervention, First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
Ling Wang, MD: Department of Intervention, First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
Zong-Ming Li, MD: Department of Intervention, First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
Edward Wolfgang Lee, MD, PhD, FSIR: Division of Interventional Radiology, Department of Radiology, UCLA Medical Center, David Geffen School of Medicine at UCLA, Los Angeles, Calif

Journal volume & issue: Vol. 7, no. 2
pp. 215 – 218

Abstract

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A 64-year old man had developed a giant mediastinal lymphocele after undergoing esophagectomy for the treatment of esophageal squamous cell carcinoma. The thoracic duct was embolized with six micro-coils, followed by embolization using a 1:3 mixture of N-butyl-2-cyanoacrylate (Histoacryl; B. Braun, Melsungen, Germany) and ethiodized oil. Resolution of the lymphocele was achieved within 5 days after embolization. To the best of our knowledge, ours is the first reported case of thoracic duct embolization for the treatment of mediastinal lymphocele.

Published in Journal of Vascular Surgery Cases and Innovative Techniques

ISSN: 2468-4287 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-vascular-surgery-cases-innovations-and-techniques

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