Magnetic resonance and intranodal lymphangiography in patients with chylous leak after cervical lymph node resection

Tuấn Linh Lê, Nguyen Ngoc Cuong

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Abstract

Purpose: To report characteristics of dynamic magnetic resonance lymphagiography and digital subtraction lymphagiography in patients with chylous leakage after cervical lymph node resection. Materials and methods: 30 patients diagnosed with chylous leak (25 women, 05 men) underwent intranodal dynamic magnetic resonance lymphangiography and digital subtraction lymphagiography at the Radiology center of Hanoi Medical University Hospital from June 2021 to September 2023. Results: Anatomical variant of the thoracic duct accounted for 56,67% on magnetic resonance imaging and digital subtraction imaging. The variant without the chylous cistern accounted for 50% on magnetic resonance imaging and 46,67% on digital subtraction imaging. The drainage site of thoracic duct into the vein at 01 position in the most patients and this was also the most common location of thoracic duct lesion (63,33%). The most common form of lesion was leakage of contrast medium. Conclusion: Intranodal dynamic magnetic resonance lymphangiography and digital subtraction lymphagiography are less invasive with many advantages in study about anatomy, variants and detecting the location of thoracic duct laceration.

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References

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