Magnetic resonance in chylous leakage of female reproductive system
10.3969/j.issn.1002-1671.2017.03.003
- VernacularTitle:MR在女性生殖系统乳糜漏中的应用
- Author:
Meng HUO
;
Yunlong YUE
;
Yanfang JIN
;
Zhe WEN
;
Chao ZHANG
;
Zhenchang WANG
- Keywords:
chylos leakage;
reproductive system;
magnetic resonance thoracic ductography;
direct lymphangiography;
lymphoscin-tigraphy
- From:
Journal of Practical Radiology
2017;33(3):331-334,360
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the value of magnetic resonance thoracic ductography (MRTD)and magnetic resonance (MR) pelvic scanning in the chylous leakage of female reproductive system.Methods A retrospective evaluation of the imaging findings of MRTD and MR pelvic in 7 patients was performed,and compared with direct lymphangiography (DLG),lymphoscintigraphy and surgery.Results The rate of thoracic duct visualization in DLG was 71 .4% (5/7 ).The rate of venous angle visualization inlym-phoscintigraphy was 71.4% (5/7).The rate of thoracic duct visualization in MRTD was 100% (7/7).Except for 1 case withgeneral-ly normal findings,the remaining 6 cases showedobstruction of the thoracic duct in MRTD.Among those cases,bilateral drainage was found in 1 case,right thoracic ductwas seen in 1 case,multiple tortuous dilated lymphatic channelsaround the venous angle was detected in 4 cases,and multiple lymphangiomas was seen in 1 case.All of the 7 patients were conducted by surgery.6 cases were confirmed as obstruction of the thoracic duct.MRTD & MR pelvic found more multiple lymphangiomas lesions and detected 2 cases with bone abnormalities.Conclusion MRTD combined with MR pelvic could provide more comprehensive assessment of female re-productive system chylous leakage.It should be used as routine examination before operation.
