Percutaneous Balloon Plasty for Thoracic Duct Occlusion in a Patient with Chylothorax and Chylous Ascites

  • Shuji KariyaEmail author
  • Miyuki Nakatani
  • Yasuyuki Ono
  • Takuji Maruyama
  • Yutaka Ueno
  • Atsushi Komemushi
  • Noboru Tanigawa
Case Report


A patient developed abdominal distension, dyspnea, and nausea due to chylothorax and chylous ascites 1 month after bruising her back. Lymphangiography was unable to identify the site of lymph leakage, and lymphatic duct embolization was impractical. However, lymphangiography showed occlusion of the thoracic duct. Thus, balloon plasty was performed to restore the patency of the thoracic duct, and the chylothorax and chylous ascites improved. Although embolization of the thoracic or lymphatic ducts has been reported as a treatment for lymphorrhea, it is impractical if the lymphatic duct responsible for leakage cannot be identified. In such a case, balloon plasty of the occluded thoracic duct to lower the pressure in the peripheral lymphatic ducts was successfully performed.


Chylothorax Chylous ascites Thoracic duct plasty Lymphangiography Balloon 


Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

This case report was approved by our institutional review board, and the requirement to obtain informed consent for inclusion in this study was waived. Informed consent for percutaneous balloon thoracic duct plasty was obtained from the patient before the procedure.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2019

Authors and Affiliations

  • Shuji Kariya
    • 1
    Email author
  • Miyuki Nakatani
    • 1
  • Yasuyuki Ono
    • 1
  • Takuji Maruyama
    • 1
  • Yutaka Ueno
    • 1
  • Atsushi Komemushi
    • 1
  • Noboru Tanigawa
    • 1
  1. 1.Department of RadiologyKansai Medical UniversityHirakata, OsakaJapan

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