Treatment of Refractory Ascites with Lymphaticovenous Anastomosis Considering Lymphatic Territories.

ABSTRACT: Lymphatic ascites is an infrequent complication observed in patients who have undergone lymphadenectomy as part of their surgical treatment for gynecological cancer. Previous research has suggested that intranodal lymphangiography can effectively manage lymphatic leakage. However, its efficacy diminishes for ascites with substantial fluid accumulation. This case report presents a patient who underwent lymphaticovenous anastomosis (LVA) for ascites that was unresponsive to lymphangiography and sclerotherapy. A 70-year-old woman required weekly ascites punctures after surgical treatment of ovarian cancer. Lymphoscintigraphy revealed lymphatic leakage originating from the right pelvic lymphatic vessel. Intranodal lymphangiography was performed from the inferior lateral inguinal region, follow

SUBMITTER: Nuri T 

PROVIDER: S-EPMC11379478 | biostudies-literature | 2024 Sep

REPOSITORIES: biostudies-literature