Treatment of symptomatic primary chylous disorders

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Presentation transcript:

Treatment of symptomatic primary chylous disorders Audra A. Noel, MD, Peter Gloviczki, MD, Claire E. Bender, MD, David Whitley, MD, Anthony W. Stanson, MD, Claude Deschamps, MD Journal of Vascular Surgery Volume 34, Issue 5, Pages 785-791 (November 2001) DOI: 10.1067/mva.2001.118800 Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 1 CT scan of a 43-year–old woman demonstrating multiple cystic lesions consistent with pulmonary lymphangiomyomatosis. This film was performed after thoracentesis, and therefore the left pleural effusion is not present. Journal of Vascular Surgery 2001 34, 785-791DOI: (10.1067/mva.2001.118800) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 2 Lymphoscintigraphy after injection of technitium-99m labeled colloid via left ankle. A, At 1 hour, transport of colloid to left groin is visualized. B, At 6 hours, complete reflux of lymphatics extending across the pelvis and continuing to the right ankle. Journal of Vascular Surgery 2001 34, 785-791DOI: (10.1067/mva.2001.118800) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 3 Lymphangiogram with lymphangiectasia and reflux. A, After injection of contrast via left lower limb, visualization of dilated pelvic lymphatics and filling of contralateral pelvic and retroperitoneal lymphatics. B, Right ankle with lymphangiography contrast caused by reflux after injection of left limb. Journal of Vascular Surgery 2001 34, 785-791DOI: (10.1067/mva.2001.118800) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 4 Surgical treatment for lymphedema and chylous effusions caused by primary chylous disorders. Journal of Vascular Surgery 2001 34, 785-791DOI: (10.1067/mva.2001.118800) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions