{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T21:54:31Z","timestamp":1740174871037,"version":"3.37.3"},"reference-count":20,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T00:00:00Z","timestamp":1709856000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T00:00:00Z","timestamp":1709856000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["surg case rep"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Postoperative lymphatic leakage is a complication of ineffective conservative treatment for retroperitoneal mass. Herein, we report a case of lymphatic leakage that arose after retroperitoneal tumor resection and that was treated with retrograde transvenous thoracic duct embolization.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 28-year-old man with persistent abdominal pain was diagnosed with a large retroperitoneal metastatic tumor measuring 10\u00a0cm and a subdiaphragmatic lymph node originating from a testicular tumor. After high orchidectomy and neoadjuvant chemotherapy, the subdiaphragmatic lymph node and retroperitoneal tumor were resected together with the abdominal aorta; the latter was reconstructed using a prosthetic graft. Postoperatively, the patient developed chylothorax. No improvement was observed after conservative treatment that included fasting and somatostatin therapy. The leakage site could not be identified using antegrade lymphangiography of the bilateral inguinal lymph nodes, but was detected using retrograde transvenous lymphangiography. The leakage site was successfully embolized.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>This case report describes successful treatment with retrograde transvenous thoracic duct embolization for chylothorax following resection of a retroperitoneal tumor and lymph node. This approach is a less invasive and more effective mode of treatment for chylothorax and should be considered before surgical thoracic duct ligation when the leakage point cannot be identified using the antegrade approach.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40792-024-01856-3","type":"journal-article","created":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T03:02:13Z","timestamp":1709866933000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Retrograde transvenous thoracic duct embolization for lymphatic leakage after retroperitoneal tumor and lymph node resection: a case report and literature review"],"prefix":"10.1186","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9808-131X","authenticated-orcid":false,"given":"Go","family":"Kinoshita","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koichi","family":"Morisaki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daisuke","family":"Okamoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takehiko","family":"Aoyagi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinichiro","family":"Yoshino","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kentaro","family":"Inoue","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomoharu","family":"Yoshizumi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,3,8]]},"reference":[{"key":"1856_CR1","doi-asserted-by":"publisher","first-page":"285","DOI":"10.1016\/j.jvir.2007.10.025","volume":"19","author":"D Mittleider","year":"2008","unstructured":"Mittleider D, Dykes TA, Cicuto KP, Amberson SM, Leusner CR. Retrograde cannulation of the thoracic duct and embolization of the cisterna chyli in the treatment of chylous ascites. J Vasc Interv Radiol. 2008;19:285\u201390.","journal-title":"J Vasc Interv Radiol"},{"key":"1856_CR2","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1016\/j.avsg.2017.10.020","volume":"49","author":"RN Srinivasa","year":"2018","unstructured":"Srinivasa RN, Gemmete JJ, Osher ML, Hage AN, Chick JFB. Endolymphatic balloon-occluded retrograde abdominal lymphangiography (BORAL) and embolization (BORALE) for the diagnosis and treatment of chylous ascites: approach, technical success, and clinical outcomes. Ann Vasc Surg. 2018;49:49\u201356.","journal-title":"Ann Vasc Surg"},{"key":"1856_CR3","doi-asserted-by":"publisher","first-page":"584","DOI":"10.1016\/j.jtcvs.2009.11.025","volume":"139","author":"M Itkin","year":"2010","unstructured":"Itkin M, Kucharczuk JC, Kwak A, Trerotola SO, Kaiser LR. Nonoperative thoracic duct embolization for traumatic thoracic duct leak: experience in 109 patients. J Thorac Cardiovasc Surg. 2010;139:584\u201390.","journal-title":"J Thorac Cardiovasc Surg"},{"key":"1856_CR4","doi-asserted-by":"publisher","first-page":"1398","DOI":"10.1016\/j.jvir.2014.03.027","volume":"25","author":"V Pamarthi","year":"2014","unstructured":"Pamarthi V, Stecker MS, Schenker MP, Baum RA, Killoran TP, Suzuki Han A, et al. Thoracic duct embolization and disruption for treatment of chylous effusions: experience with 105 patients. J Vasc Interv Radiol. 2014;25:1398\u2013404.","journal-title":"J Vasc Interv Radiol"},{"key":"1856_CR5","doi-asserted-by":"publisher","first-page":"1623","DOI":"10.1016\/j.radcr.2020.06.052","volume":"15","author":"K Morikawa","year":"2020","unstructured":"Morikawa K, Takenaga S, Hasumi J, Kano A, Tatsuno S, Michimoto K, et al. Retrograde transvenous lymphatic embolization for postoperative chylous ascites: a report of three cases and literature review. Radiol Case Rep. 2020;15:1623\u20138.","journal-title":"Radiol Case Rep"},{"key":"1856_CR6","doi-asserted-by":"publisher","first-page":"122","DOI":"10.2995\/jacsurg.31.122","volume":"31","author":"H Sugimura","year":"2017","unstructured":"Sugimura H, Cong Y, Yamazaki I, Nomori H, Ito Y, Takeshi A. A case of non-traumatic chylothorax treated by percutaneous transvenous embolization of the thoracic duct. J Jpn Assoc Chest Surg. 2017;31:122\u20136.","journal-title":"J Jpn Assoc Chest Surg"},{"key":"1856_CR7","doi-asserted-by":"publisher","first-page":"377","DOI":"10.1007\/s00330-021-08145-9","volume":"32","author":"H Jun","year":"2022","unstructured":"Jun H, Hur S, Jeong YS, Kang CH, Lee H. Thoracic duct embolization in treating postoperative chylothorax: does bail-out retrograde access improve outcomes? Eur Radiol. 2022;32:377\u201383.","journal-title":"Eur Radiol"},{"key":"1856_CR8","doi-asserted-by":"publisher","first-page":"969","DOI":"10.1007\/s12328-021-01429-z","volume":"14","author":"Y Sato","year":"2021","unstructured":"Sato Y, Tanaka Y, Imai T, Kawada H, Okumura N, Matsuhashi N, et al. Chylothorax after esophagectomy treated with inguinal intranodal lymphangiography and transvenous retrograde thoracic duct embolization. Clin J Gastroenterol. 2021;14:969\u201374.","journal-title":"Clin J Gastroenterol"},{"key":"1856_CR9","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1016\/j.jvir.2012.10.005","volume":"24","author":"Y Koike","year":"2013","unstructured":"Koike Y, Nishimura JI, Hirai C, Moriya N, Katsumata Y. Percutaneous transvenous embolization of the thoracic duct in the treatment of chylothorax in two patients. J Vasc Interv Radiol. 2013;24:135\u20137.","journal-title":"J Vasc Interv Radiol"},{"key":"1856_CR10","doi-asserted-by":"publisher","first-page":"584","DOI":"10.1055\/s-0034-1399438","volume":"187","author":"HH Schild","year":"2015","unstructured":"Schild HH, Naehle CP, Wilhelm KE, Kuhl CK, Thomas D, Meyer C, et al. Lymphatic interventions for treatment of chylothorax. Rofo. 2015;187:584\u20138.","journal-title":"Rofo"},{"key":"1856_CR11","doi-asserted-by":"publisher","first-page":"379","DOI":"10.5152\/dir.2017.16514","volume":"23","author":"B Arslan","year":"2017","unstructured":"Arslan B, Masrani A, Tasse JC, Stenson K, Cenk T\u00dc. Superselective retrograde lymphatic duct embolization for management of postoperative lymphatic leak. Diagn Interv Radiol. 2017;23:379\u201380.","journal-title":"Diagn Interv Radiol"},{"key":"1856_CR12","doi-asserted-by":"publisher","first-page":"1032","DOI":"10.1016\/j.jvir.2017.10.034","volume":"29","author":"JS Hussain","year":"2018","unstructured":"Hussain JS, Srinivasa RN, Srinivasa RN, Patel A, Gemmete JJ, Chick JFB. Balloon-occluded retrograde lymphangiography and embolization of a posttraumatic lymphoenteric fistula. J Vasc Interv Radiol. 2018;29:1032\u20133.","journal-title":"J Vasc Interv Radiol"},{"key":"1856_CR13","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1016\/j.ejrad.2018.10.019","volume":"109","author":"BS Majdalany","year":"2018","unstructured":"Majdalany BS, Khayat M, Downing T, Killoran TP, El-Haddad G, Khaja MS, et al. Lymphatic interventions for isolated, iatrogenic chylous ascites: a multi-institution experience. Eur J Radiol. 2018;109:41\u20137.","journal-title":"Eur J Radiol"},{"key":"1856_CR14","doi-asserted-by":"publisher","first-page":"406","DOI":"10.1007\/s00270-017-1814-y","volume":"41","author":"S Kariya","year":"2018","unstructured":"Kariya S, Nakatani M, Ueno Y, Yoshida A, Ono Y, Maruyama T, et al. Transvenous retrograde thoracic ductography: initial experience with 13 consecutive cases. Cardiovasc Intervent Radiol. 2018;41:406\u201314.","journal-title":"Cardiovasc Intervent Radiol"},{"key":"1856_CR15","doi-asserted-by":"crossref","unstructured":"Rott G, Boecker F. High-output chyloperitoneum following laparoscopic Nissen fundoplication treated with retrograde transvenous thoracic duct embolization. CVIR Endovasc. 2020;3.","DOI":"10.1186\/s42155-020-00110-9"},{"key":"1856_CR16","doi-asserted-by":"publisher","first-page":"e238961","DOI":"10.1136\/bcr-2020-238961","volume":"14","author":"PMUD Dar","year":"2021","unstructured":"Dar PMUD, Gamanagatti S, Priyadarshini P, Kumar S. Traumatic chylothorax: a dilemma to surgeons and interventionists. BMJ Case Rep. 2021;14:e238961.","journal-title":"BMJ Case Rep"},{"key":"1856_CR17","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/s13730-021-00618-6","volume":"11","author":"S Kalia","year":"2022","unstructured":"Kalia S, Narkhede A, Yadav AK, Bhalla AK, Gupta A. Retrograde transvenous selective lymphatic duct embolization in post donor nephrectomy chylous ascites. CEN Case Rep. 2022;11:1\u20135.","journal-title":"CEN Case Rep"},{"key":"1856_CR18","doi-asserted-by":"publisher","first-page":"779","DOI":"10.1016\/j.jvscit.2022.08.015","volume":"8","author":"R Seth","year":"2022","unstructured":"Seth R, Gupta A, Yadav A. Lymphangiography and thoracic duct embolization (both antegrade and retrograde approaches) in a case of spontaneous chylous leak after failed thoracic duct ligation. J Vasc Surg Cases Innov Tech. 2022;8:779\u201380.","journal-title":"J Vasc Surg Cases Innov Tech"},{"issue":"S1","key":"1856_CR19","first-page":"1","volume":"94","author":"M Petrini","year":"2023","unstructured":"Petrini M, Colombi D, Bodini FC, Morelli N, Ciatti C, Maniscalco P, et al. Thoracic duct leakage in a patient with type B-non-Hodgkin lymphoma treated with transvenous retrograde access embolization: a case report. Acta Biomed. 2023;94(S1):1\u20135.","journal-title":"Acta Biomed"},{"key":"1856_CR20","doi-asserted-by":"publisher","first-page":"205","DOI":"10.1016\/j.jvir.2022.10.037","volume":"34","author":"H Kim","year":"2023","unstructured":"Kim H, Hyun D, Shin SW, Jeong G, Kim J, Cho JH, et al. Factors contributing to successful transvenous retrograde thoracic duct cannulation. J Vasc Interv Radiol. 2023;34:205\u201311.","journal-title":"J Vasc Interv Radiol"}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-024-01856-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40792-024-01856-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-024-01856-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T03:05:17Z","timestamp":1709867117000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicalcasereports.springeropen.com\/articles\/10.1186\/s40792-024-01856-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,8]]},"references-count":20,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["1856"],"URL":"https:\/\/doi.org\/10.1186\/s40792-024-01856-3","relation":{},"ISSN":["2198-7793"],"issn-type":[{"type":"electronic","value":"2198-7793"}],"subject":[],"published":{"date-parts":[[2024,3,8]]},"assertion":[{"value":"31 December 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 March 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 March 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Informed consent was obtained from the patient for the publication of this report.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"All authors declare that there is no conflict of interest.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"53"}}