乳糜性腹水
医学
淋巴系统
淋巴管
胸导管
乳糜
吻合
淋巴水肿
淋巴管扩张
外科
放射科
内科学
并发症
病理
癌症
乳腺癌
作者
Ryohei Ishiura,Kohei Mitsui,Kiichiro Danno,Chihena H. Banda,Mikihiro Inoue,Mitsunaga Narushima
标识
DOI:10.1016/j.jvsv.2020.05.017
摘要
Large abdominal lymphatic malformations (LMs) are rare and may occasionally cause life-threatening illness, especially when they involve the central lymphatic system, lumbar trunks, cisterna chyli, thoracic duct, and their major tributaries, forming complex lymphatic anomalies. These LMs are often accompanied by chylous leak in various locations, and treatment remains challenging. We report a case of large abdominal LM with chylous ascites, protein-losing enteropathy, vaginal chylous leak, and lower limb lymphedema successfully treated with microsurgical intra-abdominal lymphovenous anastomosis and discuss the technical details of the procedure.
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