METHODS: We describe the case of a 50-year-old woman who presented with chylothorax and underwent thoracic duct embolization using a coil and a mixture of histoacryl glue and lipiodol. The patient developed upper abdominal pain and fever after the intervention. She was diagnosed with biliary peritonitis and treated with cholecystectomy at Hanoi Medical University Hospital.
CONCLUSIONS: Although thoracic duct embolization is considered a safe and minimally invasive procedure, it is not without risk. Following thoracic duct embolization, severe or persistent abdominal pain should be explored utilizing imaging data and laboratory results to determine problems as soon as possible.
方法:我们描述了一名50岁女性的病例,该女性表现为乳糜胸,并使用线圈和组织泪胶和碘油的混合物进行了胸导管栓塞。干预后患者出现上腹痛和发热。她被诊断为胆汁性腹膜炎,并在河内医科大学医院接受胆囊切除术治疗。
结论:尽管胸导管栓塞术被认为是一种安全且微创的手术,这并非没有风险。胸导管栓塞后,应利用影像学数据和实验室检查结果来探索严重或持续性腹痛,以尽快确定问题。