Thoracic lymphangiectasis presenting with chyloptysis and bronchial cast expectoration
| Autor: | Max Coulomb, Gilbert Ferretti, O Orliaguet, G Gavazzi, F Laporte, P Winckel, P Beauclair |
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| Rok vydání: | 2001 |
| Předmět: |
Male
medicine.medical_specialty Lymphangiectasis Radiography Lumen (anatomy) Chylothorax Thoracic duct Diagnosis Differential Hilar lymph nodes Recurrence medicine Humans Radiology Nuclear Medicine and imaging Neuroradiology Aged medicine.diagnostic_test business.industry Interventional radiology Bronchial Diseases General Medicine respiratory system Surgery Lymphatic system medicine.anatomical_structure Radiology business Tomography X-Ray Computed |
| Zdroj: | European radiology. 12 |
| ISSN: | 0938-7994 |
| Popis: | A 70-year-old man with recurrent undiagnosed episodes of bronchial cast expectoration and pulmonary infiltrates on chest radiography for 15 years is described. The diagnosis of chyloptysis was established by chemical analysis of the bronchial aspiration. We emphasize the radiological findings of this rare observation. The CT-associated lymphangiography showed mediastinal lymphangiectasis with retrograde opacification of mediastinal and hilar lymph nodes as well as submucosal lymphatic vessels protruding into the lumen of the tracheo-bronchial tree without evidence of thoracic duct obstruction as well as a "crazy-paving appearance." Congenital incompetence of the valves of the lymphatic vessels originating from the thoracic duct is held to be the cause. Chyloptysis and pulmonary lymphatic disorder should be sought in cases of bronchial cast expectoration. |
| Databáze: | OpenAIRE |
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