Ultrasound-guided intranodal lymphangiography with lipiodol for treatment of chylous ascites following surgery for ovarian cancer: A case report

Nakamura,Kohei; Nakayama,Kentaro; Minamoto,Toshiko; Ishibashi,Tomoka; Ohnishi,Kaori; Yamashita,Hitomi; Ono,Ruriko; Sasamori,Hiroki; Razia,Sultana; Kamrunnahar,Shanta; Ishikawa,Masako; Kyo,Satoru

doi:10.3892/mco.2018.1647

August-2018 Volume 9 Issue 2

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August-2018 Volume 9 Issue 2

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Case Report Open Access

Ultrasound-guided intranodal lymphangiography with lipiodol for treatment of chylous ascites following surgery for ovarian cancer: A case report

Authors:
- Kohei Nakamura
- Kentaro Nakayama
- Toshiko Minamoto
- Tomoka Ishibashi
- Kaori Ohnishi
- Hitomi Yamashita
- Ruriko Ono
- Hiroki Sasamori
- Sultana Razia
- Shanta Kamrunnahar
- Masako Ishikawa
- Satoru Kyo
View Affiliations / Copyright

Affiliations: Department of Obstetrics and Gynecology, Shimane University School of Medicine, Izumo, Shimane 693-8501, Japan

Copyright: © Nakamura et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
Pages: 178-180
|
Published online on: June 8, 2018

https://doi.org/10.3892/mco.2018.1647
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Abstract

Although lymphadenectomy for gynecological cancer is often associated with chylous leakage, the proper management of this complication remains a matter of debate. In the present study a case of chylous leakage successfully treated with lipiodol lymphangiography is described. A 33-year-old patient with ovarian cancer experienced chylous leakage following total abdominal hysterectomy, bilateral salpingo-oophorectomy, omentectomy, and pelvic and para-aortic lymphadenectomy. The volume of fluid in the abdominal drainage tube increased to 800-1,000 ml/day on postoperative day (POD)3. The patient was started on a fat-restricted diet on POD3 and octreotide on POD21, but the volume of the discharge remained unchanged. Lipiodol lymphangiography was performed on POD62, which reduced the leakage, and the patient was discharged on POD95. Therefore, lipiodol lymphangiography effectively resolved chylous leakage following surgery for gynecological cancer. The aim of the present study was to report the clinical effectiveness of lipiodol lymphangiography in resolving chylous leakage in such cases, and to summarize the methods used and complications encountered.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Ultrasound-guided intranodal lymphangiography with lipiodol for treatment of chylous ascites following surgery for ovarian cancer: A case report

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