Interventional Treatment of Lymphatic Leakage Post Appendectomy: Case Report
DOI:
https://doi.org/10.3889/oamjms.2019.288Keywords:
Lymphatic leakage, Lymphatic ascite post operation, Lymphangiography, Intranidal lymphangiographyAbstract
BACKGROUND: Postoperative lymphatic complications are not common, and lymphatic leakage complication post appendectomy (LLCPC) is even rarer. However, the number of this operation is high so LLCPC can occur.
CASE REPORT: Here, we report a female patient post appendectomy with severe chylous ascites. This patient underwent six operations. A leakage point at the right iliac-fossa, which was embolized successfully after two sessions, was spotted during intranodal lymphangiography. After 6 months, the ascites were significantly reduced while some lymphatic aneurysms still existed in the lumbar-retroperitoneal region.
CONCLUSIONS: Basing the knowledge of this clinical case and literature, we have concluded that lymphatic leakage can be diagnosed and embolized by percutaneous intervention.
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Copyright (c) 2019 Nguyen Ngoc Cuong, Nguyen Thai Binh, Phan Nhan Hien, Nguyen Hoang, Le Tuan Linh, Doan Tien Luu, Vu Dang Luu, Pham Duc Huan, Vo Truong Nhu Ngoc, Md Jamal Uddin, Vu Thi Nga, Dinh-Toi Chu
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
http://creativecommons.org/licenses/by-nc/4.0
