Percutaneous Transhepatic and Translumbar Sclerotherapy of a Thoracic Duct Cyst: A Case Report
| Autor: | Ibrahim Alrashidi, Ji Hoon Shin |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Percutaneous medicine.medical_treatment R895-920 Computed tomography Thoracic duct 030218 nuclear medicine & medical imaging Medical physics. Medical radiology. Nuclear medicine 03 medical and health sciences 0302 clinical medicine sclerotherapy medicine Sclerotherapy Cyst Translumbar approach Compartment (pharmacokinetics) Retrocrural medicine.diagnostic_test business.industry medicine.disease medicine.anatomical_structure percutaneous 030220 oncology & carcinogenesis ethanol Radiology business thoracic duct cyst |
| Zdroj: | The Arab Journal of Interventional Radiology, Vol 5, Iss 01, Pp 045-047 (2021) |
| ISSN: | 2542-7083 2542-7075 |
| Popis: | A 58-year-old male presented with chronic abdominal pain lasting 5 years and a 15 × 6-cm multicystic thoracic duct cyst with three compartments, located in the right retrocrural and retrocardiac regions from T5/T6 to T12/L1. A transhepatic route was selected to sclerose the middle and lower compartments. Subsequent contrast injection showed minimal contrast passage into the upper compartment through a narrow neck, but the guidewire could not pass into this compartment. The contrast-filled upper compartment was punctured with a 22-g Chiba needle using a translumbar approach under cone-beam computed tomography (CT) guidance and ethanol sclerotherapy was performed. Six-month follow-up CT revealed decreased thoracic duct cyst size (5×3 cm) and no pain. This case illustrates successful percutaneous transhepatic and translumbar sclerotherapy for retrocardiac and retrocrural thoracic duct cysts, which are very difficult to remove surgically. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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