Refractory Chylothorax in Hepatic Cirrhosis: Successful Treatment by Transjugular Intrahepatic Portosystemic ShuntVignaux, Olivier M.D.* ; Gouya, Hervé M.D.* ; Dousset, Bertrand M.D., Ph.D.† ; Mazuir, Elisabeth M.D.‡ ; Buffet, Catherine M.D.§ ; Calmus, Yvon M.D., Ph.D.†; Legmann, Paul M.D.*Journal of Thoracic Imaging: July 2002 - Volume 17 - Issue 3 - p 233-236 Imaging of Occupational Lung Disease: Case Reports Buy Abstract Author InformationAuthors Patients with cirrhosis and portal hypertension have increased thoracic duct lymph flow. Correction of portal hypertension is associated with decreases in thoracic duct flow. The authors present a case of rapid resolution of refractory chylothorax caused by thoracic duct injury proven by lymphangiography and helical CT scan in a patient with cirrhosis of the liver by using a transjugular intrahepatic portosystemic shunt to decrease portal pressure and thereby reduce thoracic duct lymph flow. From the Departments of *Radiology, †Surgery, and ‡Anesthesiology, Hôpital Cochin, Paris, France and §Department of Hepatogastroenterology, Hôpital Bicétre, Le Kremlin-Bicétre, France. Address correspondence to Olivier Vignaux, M.D., Department of Radiology, Hôpital Cochin, 27 rue du Fg Saint Jacques, 75679 Paris Cedex 14, France. E-mail: email@example.com © 2002 Lippincott Williams & Wilkins, Inc.