Combination of preoperative lymphangiography using lipiodcl and intraoperative lymphangiography using evans blue facilitates the accurate identification of postoperative chylous fistulas

Shunji Kohnoe, Ikuo Takahashi, Hirofumi Kawanaka, Masaki Mori, Kenichiro Okadome, Keizo Sugimachi

Research output: Contribution to journalArticlepeer-review

20 Citations (Scopus)

Abstract

In a 61-year-old woman who underwent extensive retroperitoneal lymph node dissection for rectal cancer, postoperative chylous ascites developed. The site of the lymphatic leak was evident on the lymphangiogram with lipiodol taken prior to the surgical repair of the leak, and another site seen on the intraoperative lymphangiogram using Evans Blue. A direct surgical repair led to good results. Therefore, the combination of pre- and intraoperative lymphangiography facilitates the successful surgical management of rare but alarmingly dangerous postoperative chylous ascites.

Original languageEnglish
Pages (from-to)929-931
Number of pages3
JournalSurgery today
Volume23
Issue number10
DOIs
Publication statusPublished - Oct 1 1993

All Science Journal Classification (ASJC) codes

  • Surgery

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