Chinese Medical Sciences Journal ›› 2017, Vol. 32 ›› Issue (4): 265-268.doi: 10.24920/J1001-9294.2017.038

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MR淋巴管造影诊断婴儿乳糜胸一例及文献回顾

潘海鹏1,2, 劳群2, 费正华3, 杨丽1, 周海春1, 赖灿1,*()   

  1. 1 浙江大学医学院附属儿童医院放射科,杭州 310052
    2 杭州市儿童医院放射科, 杭州 310014
    3 湖州市妇幼保健院放射科,浙江 湖州 313000
  • 收稿日期:2016-10-21 出版日期:2017-12-30 发布日期:2017-12-30
  • 通讯作者: 赖灿 E-mail:laican1000@163.com

MR Lymphangiography for Focal Disruption of the Thoracic Duct in Chylothorax of an Infant: a Case Report and Literature Review

Pan Haipeng1,2, Lao Qun2, Fei Zhenghua3, Yang Li1, Zhou Haichun1, Lai Can1,*()   

  1. 1Department of Radiology, Children’s Hospital, Zhejiang University School of Medicine, Hangzhou 310052, China;
    2Department of Radiology, Hangzhou Children’s Hospital, Hangzhou 310014, China;
    3Department of Radiology, Huzhou Maternity & Child Care Hospital, Huzhou, Zhejiang 313000, China;
  • Received:2016-10-21 Online:2017-12-30 Published:2017-12-30
  • Contact: Lai Can E-mail:laican1000@163.com

摘要:

乳糜胸在儿童胸腔积液中相对少见,而常规影像不能显示胸导管,要用影像方法发现外漏的部位很难做到,尤其在儿童更难。本文报告一例6个月乳糜胸患儿成功利用磁共振胰胆管成像序列(MRCP)及经足背皮内注射钆双铵行T1WI频谱预饱和反转恢复序列(SPIR)行MR淋巴管造影发现胸导管外漏部位,提示该影像方法对于乳糜胸婴儿患者是简单而有效的胸导管检查方法。

关键词: 淋巴管造影术, 磁共振成像, 乳糜胸, 钆双铵

Abstract:

Chylothorax is a rare cause of pleural effusion in children, and it is usually difficult to identify the location of chyle leakage due to the small size of the thoracic duct in children. Herein we report an infant case with chylothorax whose leakage of the thoracic duct was successfully located by magnetic resonance lymphangiography (MRL) using pre-contrast MR cholangiopancreatography (MRCP) and gadodiamide-enhanced spectral presaturation inversion recovery (SPIR) T1-weighted imaging, which demonstrate the imaging method is easy and effective for detecting the focal disruption of the thoracic duct in children with chylothorax and younger than 8 months old.

Key words: lymphangiography, magnetic resonance imaging, chylothorax, gadodiamide

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