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Case Series 


Therapeutic efficacy of lipiodol in patients of chylothorax and chylous ascites with no demonstrable leak by fluoroscopic intranodal lymphangiogram

Kalpana Radhakrishnan, Thangalakshmi Adaikkalam, Karthik Palanisamy, Gayathri Shanmugam.


Abstract
Introduction: Lymphatic leakage is a rare but severe complication that can occur after various surgical procedures, traumatic injury, and unknown etiology. Lymphangiography using lipiodol is a useful diagnostic tool and also has the therapeutic advantage of occluding small leaks by its sclerosing property. In our study, we evaluated the therapeutic efficacy of lipiodol used in lymphangiogram in patients with no demonstrable post lymphangiogram leak in fluoroscopic intranodal lymph angiogram. This study was done at Barnard Institute of Radiology, Madras medical college, Chennai, Tamilnadu with the data between January 2020 to August 2021.
Case series: Seven Patients with idiopathic intractable chylous ascites and chylothorax were quantified using ultrasonogram and then subjected to fluoroscopic intranodal lipiodol lymphangiogram. Five patients with no demonstrable leak were followed up. Among five patients in our study, there was a 80 – 90 % reduction of chylothorax in two patients, a 50 – 60 % reduction of chylothorax in two patients, and a 20 – 30 % reduction of chylous ascites in one patient.
Conclusion: Intranodal fluoroscopic lymphangiogram is a valuable tool in imaging the lymphatics and detecting the congenital abnormality or post-traumatic leak as a cause for chylous ascites/chylothorax. In our study, it is proven that lipiodol has a therapeutic effect on patients having a small leak.

Key words: chylothorax, chylous ascites, lymphangiogram, lntranodal lipiodol


 
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How to Cite this Article
Pubmed Style

Radhakrishnan K, Adaikkalam T, Palanisamy K, Shanmugam G. Therapeutic efficacy of lipiodol in patients of chylothorax and chylous ascites with no demonstrable leak by fluoroscopic intranodal lymphangiogram. Int J Med Rev Case Rep. 2023; 7(2): 31-34. doi:10.5455/IJMRCR.172-1678219078

Web Style

Radhakrishnan K, Adaikkalam T, Palanisamy K, Shanmugam G. Therapeutic efficacy of lipiodol in patients of chylothorax and chylous ascites with no demonstrable leak by fluoroscopic intranodal lymphangiogram. https://www.mdpub.net/?mno=145704 [Access: April 04, 2024]. doi:10.5455/IJMRCR.172-1678219078

AMA (American Medical Association) Style

Radhakrishnan K, Adaikkalam T, Palanisamy K, Shanmugam G. Therapeutic efficacy of lipiodol in patients of chylothorax and chylous ascites with no demonstrable leak by fluoroscopic intranodal lymphangiogram. Int J Med Rev Case Rep. 2023; 7(2): 31-34. doi:10.5455/IJMRCR.172-1678219078


Vancouver/ICMJE Style

Radhakrishnan K, Adaikkalam T, Palanisamy K, Shanmugam G. Therapeutic efficacy of lipiodol in patients of chylothorax and chylous ascites with no demonstrable leak by fluoroscopic intranodal lymphangiogram. Int J Med Rev Case Rep. (2023), [cited April 04, 2024]; 7(2): 31-34. doi:10.5455/IJMRCR.172-1678219078


Harvard Style

Radhakrishnan, K., Adaikkalam, . T., Palanisamy, . K. & Shanmugam, . G. (2023) Therapeutic efficacy of lipiodol in patients of chylothorax and chylous ascites with no demonstrable leak by fluoroscopic intranodal lymphangiogram. Int J Med Rev Case Rep, 7 (2), 31-34. doi:10.5455/IJMRCR.172-1678219078


Turabian Style

Radhakrishnan, Kalpana, Thangalakshmi Adaikkalam, Karthik Palanisamy, and Gayathri Shanmugam. 2023. Therapeutic efficacy of lipiodol in patients of chylothorax and chylous ascites with no demonstrable leak by fluoroscopic intranodal lymphangiogram. International Journal of Medical Reviews and Case Reports, 7 (2), 31-34. doi:10.5455/IJMRCR.172-1678219078


Chicago Style

Radhakrishnan, Kalpana, Thangalakshmi Adaikkalam, Karthik Palanisamy, and Gayathri Shanmugam. "Therapeutic efficacy of lipiodol in patients of chylothorax and chylous ascites with no demonstrable leak by fluoroscopic intranodal lymphangiogram." International Journal of Medical Reviews and Case Reports 7 (2023), 31-34. doi:10.5455/IJMRCR.172-1678219078


MLA (The Modern Language Association) Style

Radhakrishnan, Kalpana, Thangalakshmi Adaikkalam, Karthik Palanisamy, and Gayathri Shanmugam. "Therapeutic efficacy of lipiodol in patients of chylothorax and chylous ascites with no demonstrable leak by fluoroscopic intranodal lymphangiogram." International Journal of Medical Reviews and Case Reports 7.2 (2023), 31-34. Print. doi:10.5455/IJMRCR.172-1678219078


APA (American Psychological Association) Style

Radhakrishnan, K., Adaikkalam, . T., Palanisamy, . K. & Shanmugam, . G. (2023) Therapeutic efficacy of lipiodol in patients of chylothorax and chylous ascites with no demonstrable leak by fluoroscopic intranodal lymphangiogram. International Journal of Medical Reviews and Case Reports, 7 (2), 31-34. doi:10.5455/IJMRCR.172-1678219078


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