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Lymphangiography was first performed to detect the site of chylous leak in the topography of the left renal hilum, and subsequently, an anterior transabdominal puncture was then performed with a Chiba needle guided by fluoroscopy and injection of lipiodol to confirm the leak, followed by injection of n-butyl cyanoacrylate\/Lipiodol (1:3) and Onyx with selective embolisation of chylous leak from the lymphatic duct. Lymphangiography with embolisation is a safe, relatively effective and minimally invasive method for treating chylous ascites.<\/jats:p>","DOI":"10.1136\/bcr-2024-264139","type":"journal-article","created":{"date-parts":[[2025,6,13]],"date-time":"2025-06-13T07:00:22Z","timestamp":1749798022000},"page":"e264139","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Percutaneous lymphatic duct embolisation in postnephrectomy chylous ascites"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9427-5897","authenticated-orcid":false,"given":"Tulio Fabiano de Oliveira","family":"Leite","sequence":"first","affiliation":[{"name":"Radiology Institute, University of Sao Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,6,13]]},"reference":[{"key":"2025082802404305000_18.6.e264139.1","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1177\/15385744211062317","article-title":"Percutaneous Translymphocele Embolization of Retroperitoneal Lymphatic Leak","volume":"56","author":"Bent","year":"2022","journal-title":"Vasc Endovascular Surg"},{"key":"2025082802404305000_18.6.e264139.2","doi-asserted-by":"crossref","first-page":"376","DOI":"10.3348\/kjr.2020.0056","article-title":"Glue Embolization of Lymphopseudoaneurysm for Chylous Ascites after Retroperitoneal Surgery","volume":"22","author":"Kwon","year":"2021","journal-title":"Korean J Radiol"},{"key":"2025082802404305000_18.6.e264139.3","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1007\/s00270-017-1856-1","article-title":"Lymphangiography and Lymphatic Embolization for the Treatment of Refractory Chylous Ascites","volume":"41","author":"Nadolski","year":"2018","journal-title":"Cardiovasc Intervent Radiol"},{"key":"2025082802404305000_18.6.e264139.4","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s13730-021-00618-6","article-title":"Retrograde transvenous selective lymphatic duct embolization in post donor nephrectomy chylous ascites","volume":"11","author":"Kalia","year":"2022","journal-title":"CEN Case Rep"},{"key":"2025082802404305000_18.6.e264139.5","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1016\/j.jvir.2007.10.025","article-title":"Retrograde cannulation of the thoracic duct and embolization of the cisterna chyli in the treatment of chylous ascites","volume":"19","author":"Mittleider","year":"2008","journal-title":"J Vasc Interv Radiol"},{"key":"2025082802404305000_18.6.e264139.6","doi-asserted-by":"crossref","first-page":"109","DOI":"10.3348\/kjr.2022.0689","article-title":"Lymphatic Intervention, the Frontline of Modern Lymphatic Medicine: Part II. 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