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Chylous Reflux in Pediatric Primary Lymphedema of the Lower Limbs and Genitalia: A Retrospective Study of 167 Patients.
Lymphat Res Biol
December 2024
Department of Lymphatic Surgery, Affiliated Beijing Shijitan Hospital, Capital Medical University, Beijing, China.
Chylous reflux (CR) in primary lymphedema (PL) of the lower extremities is rare and requires particular diagnostic procedures. This study aimed to determine clinical and lymphoscintigraphic traits for efficient screening. Pediatric patients with PL of lower extremities treated in our institution between January 2020 and December 2023 were reviewed.
View Article and Find Full Text PDFA Rare Case of Chylothorax Following a Redo Laparoscopic Nissen Fundoplication.
Cureus
July 2023
Family Medicine, Conemaugh Memorial Medical Center, Johnstown, USA.
Gastroesophageal reflux disease (GERD) is a highly prevalent disease. Mechanical etiology, including hiatal hernia, can be resistant to empiric proton pump inhibitor (PPI) trials; Nissen fundoplication is commonly used to treat mechanical GERD. Chylothorax is a rare complication of abdominal surgeries, including anti-reflux procedures.
View Article and Find Full Text PDFMicrosurgical Peritoneovenous Bypass for the Treatment of Recalcitrant Chylous Ascites.
Plast Reconstr Surg
August 2023
Division of Plastic Surgery, Department of Surgery.
Background: New treatments for recalcitrant chylous ascites are needed to avoid sequelae associated with increased intraabdominal pressures, chyle loss, and diminished quality of life. An autologous microsurgical technique was developed to treat recalcitrant chylous ascites and restore normal physiology.
Methods: A retrospective case series was performed for patients with recalcitrant chylous ascites surgically treated from 2018 to 2020.
Review of chylopericardium.
Mediastinum
March 2022
Division of Thoracic Surgery, Brigham and Women's Hospital, Boston, MA, USA.
Chylopericardium is a rare pathologic condition consisting of the accumulation of excess amounts of chylous fluid within the pericardial cavity. Most patients are asymptomatic at presentation; however, chest pressure, chest pain and lightheadedness have been reported, and the most common presenting symptom is shortness of breath. Patients are noted to have enlargement of the cardiac silhouette on routine chest radiograph, and evidence of a pericardial effusion on echocardiography.
View Article and Find Full Text PDFChylothorax associated with lymphatic reflux in a thoracic duct tributary after lung cancer surgery.
Thorac Cancer
August 2021
Department of General Thoracic Surgery, Saitama Medical University International Medical Center, Saitama, Japan.
Chyle leaks are attributed to damage to the thoracic duct itself or its tributaries during surgery. Chylothorax after lung cancer surgery can occur due to damaged thoracic duct tributaries; however, little is known of the mechanism involved. A 71-year-old female underwent a left upper lobectomy with hilar and mediastinal lymphadenectomy for a 1.
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