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Surgical treatment of Gorham-Stout disease combined with scoliosis: a case report and literature review.
BMC Musculoskelet Disord
December 2024
Department of Orthopaedic Surgery, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Science, Beijing, People's Republic of China.
Background: Gorham-Stout disease (GSD) is a rare disease characterized by osteolysis and lymphatic malformations. GSD involving the spine is exceptionally rare and lacks a standard cure. The aim of this article was to report a case of GSD with scoliosis treated via corrective surgery and medication.
View Article and Find Full Text PDFMultidisciplinary management of chylous ascites following resection of a retroperitoneal, functional Paraganglioma.
Urol Case Rep
November 2024
Department of Urology, Emory University School of Medicine, Atlanta, GA, USA.
Extra-adrenal, functional paraganglioma, if not medically controlled, requires early surgical resection. This can often be challenging when found in a retroperitoneal location, where resections are prone to lymphatic disruption and chyle leaks. Chylous ascites carry a significant risk of protein and caloric malnutrition, dehydration, and even mortality given the nutrient-rich characteristic of lost lymphatic fluid.
View Article and Find Full Text PDFContrast-enhanced CT Lymphangiography for Various Central Lymphatic Disorders.
Radiographics
December 2024
From the Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, South Korea.
Lymphatic leakage, manifesting as chylothorax or chylous ascites, arises from traumatic or nontraumatic causes and poses severe risks such as malnutrition and increased infection susceptibility. Accurate diagnosis and an effective treatment strategy necessitate comprehensive lymphatic imaging. Conventional lymphangiography and dynamic contrast-enhanced MR lymphangiography (DCMRL) have been widely used and studied as effective lymphatic imaging methods.
View Article and Find Full Text PDFApplication of ultrasound-guided intranodal lymphangiography in the diagnosis and treatment of chylous ascites after abdominal surgery.
Pol J Radiol
October 2024
Department of Interventional Radiology, Zhongshan Hospital, Shanghai Institute of Medical Imaging, National Clinical Research Center of Interventional Medicine, Fudan University, Shanghai, China.
Article Synopsis
- The study focused on using ultrasound-guided intranodal lymphangiography to diagnose and treat chylous ascites, a serious complication after abdominal surgery, particularly when conservative treatments failed.* -
- Ten patients with chylous ascites, primarily following liver surgery, participated in the study, and lymphangiography was successfully performed on all, using an average of 4.5 ml of lipiodol.* -
- The results indicated that lymphangiography not only identified leakage sites but also resolved the condition in 6 patients without needing additional surgery, suggesting it might be a viable treatment option.*
Cervical Chylous Leakage Combined With Chylothorax: A Case Report of a Rare Complication Postretroperitoneal Surgery and Its Management: A Case Report of Chylous Leakage.
Case Rep Gastrointest Med
October 2024
Department of Obstetrics and Gynecology, Central Hospital Affiliated to Shandong First Medical University, Jinan 250000, China.
Chylous leakage is an uncommon and serious clinical condition, especially occurring after retroperitoneal operations. Here, we report a case of cervical chylous leakage combined with chylothorax in a 57-year-old woman postretroperitoneal surgery, and our conservative approach led to resolution/clinical improvement. The causes of this rare complication are discussed.
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