Work

Combined antegrade and retrograde approach for embolization of abdominal chyle leak

Year: 2025

Type: article

Abstract: Chyle leaks are an uncommon but often morbid complication of surgical resections in the retroperitoneal space. They can lead to multiple/prolonged hospitalizations and significantly diminish patient quality of life. Here we present a case of recalcitrant chylous ascites following resection of a renal mass. Lymphatic embolization was attempted but unsuccessful on two occasions (antegrade followed by retrograde approach) at outside hospitals. We used a combined antegrade and retrograde approach to overcome his challenging anatomy and treat the chyle leak definitively. This case highlights the usefulness and reliability of this technique for achieving bidirectional control of the lymphatic system. • Chylous ascites refractory to conservative treatment and embolization can still be treated • Retrograde lymphangiography is technically challenging but useful for tortuous anatomies • Anterograde and retrograde lymphangiography approaches can be used in combination

Source: Urology Case Reports

DOI: 10.1016/j.eucr.2025.103236

Authors: Kasthuri Nair, Mahmoud Abbas, Brandon Lei, Bryan Nicholas Swilley

Institution: Emory University

Language: English

Topic: Lymphatic Disorders and Treatments

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,160