Lymphangiogram for chylous ascites due to lung adenocarcinoma
Hirotoshi Yasuia Yasushi Makinoa Satoshi Mikamia Kenji Shimizua Takahiro Hattaa Naoya Ozawab
aDepartment of Respiratory Medicine, Chutoen Medical Center
bDepartment of Respiratory Medicine, Nagoya University Hospital
We presented the case of a 64-year-old man who consulted because of dyspnea. He had been diagnosed as lung adenocarcinoma stage IV and was on chemotherapy. In the course of chemotherapy, he developed carcinomatous peritonitis with chylous ascites, which necessitated repeated paracentesis due to compressive symptoms on the bowel. Lymphangiogram with instillation of iodized oil emulsion (Lipiodol®) was attempted and finally enabled us to detect the site of leakage to control the chylous ascites. He had not complained of bowel distention after the lymphangiography. Lymphangiogram might be effective in identifying the source and improve carcinomatous peritonitis.
Lung carcinoma Chylous ascites Lymphangiogram
Received 14 Feb 2017 / Accepted 20 Apr 2017
AJRS, 6(4): 274-277, 2017