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Chyloperitoneum in a toddler on peritoneal dialysis.
Pediatr Nephrol
December 2024
Monroe Carell Jr. Children's Hospital at Vanderbilt, Vanderbilt University Medical Center, 2200 Children's Way, Nashville, TN, 37232-9560, USA.
Chyloperitoneum is an uncommon diagnosis in peritoneal dialysis (PD) patients. While admitted for emesis and feeding intolerance, a 16-month-old male on PD developed milky-colored dialysate with increased triglycerides, indicating chyloperitoneum. In adult PD patients, chyloperitoneum can indicate potentially life-threatening pathologies including malignancies and liver or heart disease.
View Article and Find Full Text PDF[Clinical features of 50 patients with primary intestinal lymphangiectasia].
Zhonghua Wai Ke Za Zhi
December 2024
Department of Lymphatic Surgery, Beijing Shijitan Hospital, Capital Medical University, Beijing100038, China.
To investigate the clinical features of primary intestinal lymphangiectasia (PIL). This study was a retrospective case series study. Fifty consecutive patients diagnosed with PIL in Department of Lymphatic Surgery, Beijing Shijitan Hospital, Capital Medical University from March 2019 to March 2021 were included and their clinical data was retrospectively reviewed.
View Article and Find Full Text PDFSelective Lymphatic Duct Embolization for Treatment of Thoracic Lymphatic Flow Disorders in Children: Technical Aspects and Comparison with Thoracic Duct Embolization.
J Vasc Interv Radiol
January 2025
Department of Cardiology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
Purpose: To assess effectiveness of selective lymphatic duct embolization (SLDE) for treatment of thoracic lymphatic flow disorders, performed to maintain patency of the thoracic duct (TD), compared with that of TD embolization (TDE).
Materials And Methods: Records of 39 patients (mean age, 7.6 years [SD ± 7.
Lymphatic Imaging and Intervention in Congenital Heart Disease.
J Soc Cardiovasc Angiogr Interv
January 2024
Department of Cardiology, Jill and Mark Fishman Center for Lymphatic Disorders, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
The lymphatic system plays a central role in some of the most devastating complications associated with congenital heart defects. Diseases like protein-losing enteropathy, plastic bronchitis, postoperative chylothorax, and chylous ascites are now proven to be lymphatic in origin. Novel imaging modalities, most notably, noncontrast magnetic resonance lymphangiography and dynamic contrast-enhanced magnetic resonance lymphangiography, can now depict lymphatic anatomy and function in all major lymphatic compartments and are essential for modern therapy planning.
View Article and Find Full Text PDFManagement of Chyle Leak in Pediatric Surgical Oncology: A Systematic Review.
J Pediatr Hematol Oncol
October 2024
Department of Surgery, University of Tennessee Health Science Center, Memphis, TN.
Article Synopsis
- Chyle leak is a rare complication often seen in pediatric surgical oncology, stemming from damage to lymphatic vessels due to congenital issues or medical procedures, leading to conditions like chylothorax.
- This systematic review analyzed management strategies for chyle leaks in children by examining studies from 1982 to 2023, focusing on treatment methods and outcomes for 163 patients across nine articles.
- Findings indicated that almost all patients initially received conservative treatment, with a small percentage needing surgery due to persistent leaks, and factors like the type of surgery and lymph node removal played a role in the occurrence of these leaks.
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