A case of acute respiratory distress syndrome due to lymphography with Lipiodol for chylothorax after esophagectomy

BACKGROUND: Lymphography with Lipiodol is useful for chylothorax. There were many slight complications, but reports of acute respiratory distress syndrome (ARDS) after lymphography were few. CASE PRESENTATION: A 75-year-old man with esophageal cancer developed chylothorax after esophagectomy. Conser...

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Detalles Bibliográficos
Autores principales: Taki, Yusuke, Sato, Shinsuke, Suzuki, Katsunori, Nagai, Erina, Watanabe, Masaya, Shishido, Yuichiro, Nakajima, Nobuaki, Takagi, Masakazu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6318159/
https://www.ncbi.nlm.nih.gov/pubmed/30607654
http://dx.doi.org/10.1186/s40792-018-0560-y
Descripción
Sumario:BACKGROUND: Lymphography with Lipiodol is useful for chylothorax. There were many slight complications, but reports of acute respiratory distress syndrome (ARDS) after lymphography were few. CASE PRESENTATION: A 75-year-old man with esophageal cancer developed chylothorax after esophagectomy. Conservative treatment was ineffective, and he underwent lymphography with 8.5 mL of Lipiodol. He developed a high fever soon after lymphography, followed by severe ARDS requiring artificial respiration 5 days later. He recovered from ARDS but subsequently developed pulmonary fibrosis and was discharged with domiciliary oxygen therapy 3 months later. CONCLUSION: Although ARDS is a rare complication of lymphography with Lipiodol, this procedure should be applied carefully in patients with chylothorax.

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