Verletzungen des Ductus thoracicus

Thoracic duct

embolization with coils and glue to treat post-esophagectomy lymphatic leakage. Schematic diagram illustrates TD anatomic variants. May be challenging to advance a guidewire in the plexiform variants due to the small size of the multiple trunks; this may cause technical failure of the procedure.

Thoracic duct

embolization with coils and glue to treat post-esophagectomy lymphatic leakage. Initial spot fluoroscopic image of right inguinal region shows acess to two right inguinal lymph nodes with 25-gauge needles (arrows), with sucessful opacification of efferent lymphatic vessels with Lipiodol.

Successful

thoracic duct identification with patent blue V during thoracic duct ligation for chylothorax: a case report. Fluoroscopic X-ray image during lymphangiography. a Two thoracic ducts (black arrow, white arrow) were observed. No connections were observed. b Chyle vessels (black arrow, white arrow) were present in the abdominal cavity. No cisterna chyli was observed. c Thoracic duct (black arrow). Left main bronchus (white arrow). d Leakage site from the thoracic duct running through the left thoracic cavity (black arrow). Left main bronchus (white arrow)

Successful

thoracic duct identification with patent blue V during thoracic duct ligation for chylothorax: a case report. Chest computed tomography during lymphangiography. a, b Two thoracic ducts were observed (white arrow, black arrow). No connections were observed. c Leakage site from the thoracic duct running through the left thoracic cavity (black arrow)