Balloon-Occluded Retrograde Lymphangiography and Embolization of a Posttraumatic Lymphoenteric Fistula

A 27-year-old man developed abdominal pain, weakness, and diarrhea 90 days after a motor vehicle collision. Presenting laboratory test results showed hypocalcemia (7.2 mg/dL; range, 8.6 –10.3 mg/dL) and hypoalbuminemia (1.8 g/dL; range, 3.5–4.9 g/dL). Computed tomography (CT) demonstrated a 20.1 × 10.3 × 5.5–cm lymphocele within the right midabdomen (Fig 1). Aspiration yielded fluid containing 3,150 mg/dL triglycerides. Esophagogastroduodenoscopy showed chyle in the duode num. Intranodal lymphangiography demonstrated leakage of ethiodized oil into the lymphocele (Fig 2).

Source: Journal of Vascular and Interventional Radiology : JVIR - June 21, 2018 Category: Radiology Authors: Jawad S. Hussain, Ravi N. Srinivasa, Rajiv N. Srinivasa, Arpan Patel, Joseph J. Gemmete, Jeffrey Forris Beecham Chick Tags: Extreme IR Source Type: research