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

• CASE REPORT • Previous Articles     Next Articles

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
  • Supported by:
    △Supported by the Medical and Health Sciences and Technology Program in Zhejiang province in 2014 (2014KYA121).

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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