IMAGING & INTERVENTION
Case Report

Successful Glue Embolization of a Retroperitoneal Lymphatic Malformation Complicated with Refractory Chylous Ascites: A Case Report

1.

Department of Abdominal Imaging, University of Texas MD Anderson Cancer Center, USA

2.

Department of Radiology, İstanbul University-Cerrahpaşa, Cerrahpaşa School of Medicine, İstanbul, Turkey

3.

Department of Pediatric Surgery, İstanbul University-Cerrahpaşa, Cerrahpaşa School of Medicine, İstanbul, Turkey

IMAGING & INTERVENTION 2021; 1: 14-17
DOI: 10.5152/iai.2021.21001
Read: 430 Downloads: 85 Published: 09 June 2021

A patient diagnosed with inoperable retroperitoneal lymphatic malformation presented with progressive abdominal distention secondary to chylous ascites. This was believed to be secondary to lymphatic leakage from the lymphatic malformation into the peritoneal cavity. The chylous ascites was refractory to conservative management and drainage by a peritoneal catheter. Intra-nodal embolization with lipiodol reduced the amount of daily drainage from 4 to 2 L/day. Two weeks later, the most inferior parts of the lymphatic malformation were punctured, and a 1:6 mixture of n-butyl cyanoacrylate (glue) and lipiodol was directly injected into the lesion. Subsequently, the daily drainage decreased to less than 10 mL/day and the patient’s symptoms resolved.

Cite this article as: Awiwi MO, Bas A, Ozcan R, Tekant G. Successful glue embolization of a retroperitoneal lymphatic malformation complicated with refractory chylous ascites: A case report. Imaging Interv. 2021; 1(1): 14-17.

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