Journal of Clinical Case Reports

Kohei Umekawa

Publications

• Case Report
  Successful Treatment With Lymphovenous Anastomosis for Lower Extremity Edema Secondary to Lipiodol Lymphangiography
  Author(s): Shoichi Sasaki, Yasutoshi Suzuki, Kohei Umekawa, Takashi Kurabayashi and Hirotaka AsatoShoichi Sasaki, Yasutoshi Suzuki, Kohei Umekawa, Takashi Kurabayashi and Hirotaka Asato
  
  Background: Chylothorax is one of the complications after thoracic surgery and treated by conservative or surgical means. Lipiodol lymphangiography is one of the options and it causes obliteration of chylous leak by inflammatory manner. In this article, we describe a case of lymphedema of the bilateral lower extremities occurs after lipiodol lymphangiography and it is treated successfully by lymphovenous anastomosis. Case presentation: A 67-year-old man presented with refractory chylothorax after subtotal esophagectomy and thoracic lymph node dissection. His chylothorax developed 4-month later of subtotal esophagectomy and was refractory to the conservative treatment (i.e. tube thoracostomy). He was referred to our department to treat chylothorax. We chose lipiodol lymphangiography as the treatment. Lymphatic duct of left foot was detected with indocyanine green and exposed to inject .. Read More»
  DOI: 10.4172/2165-7920.1000925

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