CTICasesChylothorax treated by thoracic duct embolization
Imaging findings
Chest radiograph shows a massive left pleural effusion causing mediastinal shift. Fluoroscopic lymphangiography demonstrates cannulation of the cisterna chyli and microcatheter advancement into the thoracic duct, confirming a postoperative chylous leak and successful embolization using coils and glue.
Key takeaways
Chylothorax is a known complication of thoracic surgery (e.g., esophagectomy). When surgical duct ligation fails, percutaneous transabdominal thoracic duct embolization using coils and glue is a highly effective treatment.
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