Interventional Treatment of Lymphatic Leakage Post Appendectomy: Case Report

Abstract

BACKGROUND: Postoperative lymphatic complications are not common, and lymphatic leakage complication post appendectomy (LLCPC) is even rarer. However, the number of this operation is high so LLCPC can occur.
 CASE REPORT: Here, we report a female patient post appendectomy with severe chylous ascites. This patient underwent six operations. A leakage point at the right iliac-fossa, which was embolized successfully after two sessions, was spotted during intranodal lymphangiography. After 6 months, the ascites were significantly reduced while some lymphatic aneurysms still existed in the lumbar-retroperitoneal region.
 CONCLUSIONS: Basing the knowledge of this clinical case and literature, we have concluded that lymphatic leakage can be diagnosed and embolized by percutaneous intervention.

Application of ultrasound-guided intranodal lymphangiography and embolisation in cancer patients with postoperative lymphatic leakage

“…It has been reported that the NBCA iodised oil diluent was mixed evenly at a ratio of 1:2 [ 24 ]. In our study, NBCA iodised oil diluent was used and mixed evenly at a ratio of 1:3 to 1:4.…”

Application of Ultrasound-Guided Intranodal Lymphangiography and Embolization in Cancer Patients With Postoperative Lymphatic Leakage

“…It has been reported that the NBCA iodized oil diluent was mixed evenly at a ratio of 1:2 [24] . In our study, the NBCA iodized oil diluent was used and mixed evenly at a ratio of 1:3 to 1:4.…”