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CVIR Endovascular
Fig. 9 | CVIR Endovascular

Fig. 9

From: The roles of iodized oil-based lymphangiography and post-lymphangiographic computed tomography for specific lymphatic intervention planning in patients with postoperative lymphatic fistula: a literature review and case series

Fig. 9

A patient underwent no interventions after iodized oil-based LAG. Note: Both the conventional iodized oil-based LAG (a) and post-LAG CT (b) reveal the definite rupture of the thoracic duct (white arrowhead) in the neck. In addition, the reflux of lipiodol to the left axillary and upper arm was observed which indicates the disruption of the end of the thoracic duct (b). In the axial post-LAG CT image, the fluid accumulation with the iodized oil extravasation is noticed (c). No other intervention was carried out in this patient except for the conventional iodized oil-based LAG treatment. However, with time (6d, 11d) (d-e), the fluid accumulation gradually reduced and the drainage eventually ceased on the 11th day. Two (2) months after LAG, the recheck of the CT scan shows no recurrence of the LF (f). Abbreviations: LAG – lymphangiography; post-LAG CT – post-lymphangiographic computed tomography

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