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Refractory Chylothorax in Hepatic Cirrhosis: Successful Treatment by Transjugular Intrahepatic Portosystemic Shunt

Vignaux, 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

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:

© 2002 Lippincott Williams & Wilkins, Inc.