Respiratory Distress Syndrome Following Lymphangiography

Goff, Anne M.; Gaensler, Edward A.

doi:10.1159/000192805

Cited by 13 publications

(3 citation statements)

References 12 publications

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“…Seven patients developed respiratory signs and symptoms, including chest tightness, dyspnea, cough, and wheezing, but ARDS was not noted. We searched PubMed from 1946 to 2018 using the keywords “lymphangiography” and “respiratory” and found only three reports of ARDS after lymphangiography in the English published literature [5, 6]. Goff and Gaensler reported a case of respiratory distress syndrome following lymphangiography and retroperitoneal lymph node dissection [5] in a patient who received 20 ml of ethiodized oil injected into each leg.…”

Section: Discussionmentioning

confidence: 99%

“…Lymphography with Lipiodol is useful for both diagnosing and treating chylothorax [4]. To the best of our knowledge, only three cases of acute respiratory distress syndrome (ARDS) due to lymphography with Lipiodol have been reported [5, 6]. We report a patient who developed severe ARDS after Lipiodol lymphography for chylothorax, with a subsequent complication of pulmonary fibrosis.…”

Section: Introductionmentioning

confidence: 99%

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A case of acute respiratory distress syndrome due to lymphography with Lipiodol for chylothorax after esophagectomy

et al. 2019

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BackgroundLymphography with Lipiodol is useful for chylothorax. There were many slight complications, but reports of acute respiratory distress syndrome (ARDS) after lymphography were few.Case presentationA 75-year-old man with esophageal cancer developed chylothorax after esophagectomy. Conservative treatment was ineffective, and he underwent lymphography with 8.5 mL of Lipiodol. He developed a high fever soon after lymphography, followed by severe ARDS requiring artificial respiration 5 days later. He recovered from ARDS but subsequently developed pulmonary fibrosis and was discharged with domiciliary oxygen therapy 3 months later.ConclusionAlthough ARDS is a rare complication of lymphography with Lipiodol, this procedure should be applied carefully in patients with chylothorax.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A case of acute respiratory distress syndrome due to lymphography with Lipiodol for chylothorax after esophagectomy

et al. 2019

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“…Respiratory distress usually occurs several days after lymphangiography. The mechanism of delayed‐onset pulmonary oedema is thought to be due to chemical injury caused by fatty acid components [8]. Microemboli pass via lymphatic–venous anastomosis, and are gradually broken down by esterases of either lung or leukocyte origin.…”

Section: Discussionmentioning

confidence: 99%

Pulmonary lipiodol embolism during transcatheter arterial chemoembolization for hepatoblastoma under general anaesthesia

et al. 2000

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We present a case of pulmonary embolism that occurred during the injection of lipiodol during transcatheter arterial chemoembolization under general anaesthesia. A 7-year-old child suffering from a large hepatoblastoma was admitted for arterial chemoembolization and carcinostatic administration. Pulmonary embolism due to lipiodol during arterial chemoembolization was evident by a sudden fall in oxyhaemoglobin saturation from 100 to 90%. This was associated with a spread of lipiodol into both lungs, particularly the middle lung zones and detected by chest fluoroscopy. Arterial blood gases returned to normal values 1 day later but pulmonary infiltration persisted for 7 days before final clearance. Pulmonary embolism caused by lipiodol during arterial chemoembolization is infrequent, but such a complication could prove fatal. Understanding the risk of pulmonary embolism in patients receiving lipiodol, during and after arterial chemoembolization, and late onset pulmonary injury is important and a close follow-up for several days after arterial chemoembolization is advisable.

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Intrapleural nitrogen mustard for treating chylous effusion of pulmonary lymphangioleiomyomatosis

Lieberman

Agliozzo

1974

Cancer

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A case history is presented of a 31‐year‐old woman with pulmonary lymphangioleiomyomatosis who developed a catastrophic right sided chylous pleural effusion. The effusion was completely controlled by intrapleural instillation of nitrogen mustard (10 mg at weekly intervals for 3 doses). Subsequent “congestion” of the right lower lung field was then controlled by periodic injections of a diuretic. This is the 35th case report of this condition in the literature. Cancer 33:1505–1511, 1974.

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Respiratory Distress Syndrome Following Lymphangiography

Cited by 13 publications

References 12 publications

A case of acute respiratory distress syndrome due to lymphography with Lipiodol for chylothorax after esophagectomy

A case of acute respiratory distress syndrome due to lymphography with Lipiodol for chylothorax after esophagectomy

Pulmonary lipiodol embolism during transcatheter arterial chemoembolization for hepatoblastoma under general anaesthesia

Intrapleural nitrogen mustard for treating chylous effusion of pulmonary lymphangioleiomyomatosis

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