A case of refractory chylous ascites after nephrectomy successfully treated with percutaneous obliteration using adhesive glue.

Chihiro Itou, Jun Koizumi, Kazunori Myojin, Tomohiro Yamashita, Naoko Mori, Yutaka Imai

Japanese journal of radiology 2013 Jan

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Here we report a case of uncontrollable chylous ascites that developed after nephrectomy and was successfully treated with percutaneous obliteration of the lymphocele-like extravasation using ethiodized oil during lymphangiography. Under computed tomographic and fluoroscopic guidance, an N-butyl cyanoacrylate-ethiodized oil mixture was used with metallic coils to obliterate the extralymphatic leakage site. The volume of intraperitoneal drainage decreased steadily over the next 5 days, and the tube was removed. Percutaneous obliteration can be characterized as filling of the leakage site from outside the lymph vessel with no flow disruption, which contrasts with the conventional embolization approach via the cisterna chyli.

Citation

Chihiro Itou, Jun Koizumi, Kazunori Myojin, Tomohiro Yamashita, Naoko Mori, Yutaka Imai. A case of refractory chylous ascites after nephrectomy successfully treated with percutaneous obliteration using adhesive glue. Japanese journal of radiology. 2013 Jan;31(1):71-4