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Abstract

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Article in Japanese

Case Report

Lymphangiogram for chylous ascites due to lung adenocarcinoma

Hirotoshi Yasuia  Yasushi Makinoa  Satoshi Mikamia  Kenji Shimizua  Takahiro Hattaa  Naoya Ozawab 

aDepartment of Respiratory Medicine, Chutoen Medical Center
bDepartment of Respiratory Medicine, Nagoya University Hospital

ABSTRACT

We presented the case of a 64-year-old man who consulted because of dyspnea. He had been diagnosed as lung adenocarcinoma stage IV and was on chemotherapy. In the course of chemotherapy, he developed carcinomatous peritonitis with chylous ascites, which necessitated repeated paracentesis due to compressive symptoms on the bowel. Lymphangiogram with instillation of iodized oil emulsion (Lipiodol®) was attempted and finally enabled us to detect the site of leakage to control the chylous ascites. He had not complained of bowel distention after the lymphangiography. Lymphangiogram might be effective in identifying the source and improve carcinomatous peritonitis.

KEYWORDS

Lung carcinoma  Chylous ascites  Lymphangiogram 

Received 14 Feb 2017 / Accepted 20 Apr 2017

AJRS, 6(4): 274-277, 2017

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