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Interventional Treatment of Lymphatic Leakage Post Appendectomy: Case Report

BACKGROUND: Postoperative lymphatic complications are not common, and lymphatic leakage complication post appendectomy (LLCPC) is even rarer. However, the number of this operation is high so LLCPC can occur. CASE REPORT: Here, we report a female patient post appendectomy with severe chylous ascites....

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Detalles Bibliográficos
Autores principales: Cuong, Nguyen Ngoc, Binh, Nguyen Thai, Hien, Phan Nhan, Hoang, Nguyen, Linh, Le Tuan, Luu, Doan Tien, Luu, Vu Dang, Huan, Pham Duc, Ngoc, Vo Truong Nhu, Uddin, Md Jamal, Nga, Vu Thi, Chu, Dinh-Toi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Republic of Macedonia 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6542381/
https://www.ncbi.nlm.nih.gov/pubmed/31198465
http://dx.doi.org/10.3889/oamjms.2019.288
Descripción
Sumario:BACKGROUND: Postoperative lymphatic complications are not common, and lymphatic leakage complication post appendectomy (LLCPC) is even rarer. However, the number of this operation is high so LLCPC can occur. CASE REPORT: Here, we report a female patient post appendectomy with severe chylous ascites. This patient underwent six operations. A leakage point at the right iliac-fossa, which was embolized successfully after two sessions, was spotted during intranodal lymphangiography. After 6 months, the ascites were significantly reduced while some lymphatic aneurysms still existed in the lumbar-retroperitoneal region. CONCLUSIONS: Basing the knowledge of this clinical case and literature, we have concluded that lymphatic leakage can be diagnosed and embolized by percutaneous intervention.