Thoracic lymphangiectasis presenting with chyloptysis and bronchial cast expectoration
A 70-year-old man with recurrent undiagnosed episodes of bronchial cast expectoration and pulmonary infiltrates on chest radiography for 15 years is described. The diagnosis of chyloptysis was established by chemical analysis of the bronchial aspiration. We emphasize the radiological findings of thi...
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| Veröffentlicht in: | European radiology 2002-12, Vol.12 Suppl 3 (S3), p.S162-S165 |
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| container_title | European radiology |
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| creator | Orliaguet, O Beauclair, P Gavazzi, G Winckel, P Laporte, F Coulomb, M Ferretti, G R |
| description | A 70-year-old man with recurrent undiagnosed episodes of bronchial cast expectoration and pulmonary infiltrates on chest radiography for 15 years is described. The diagnosis of chyloptysis was established by chemical analysis of the bronchial aspiration. We emphasize the radiological findings of this rare observation. The CT-associated lymphangiography showed mediastinal lymphangiectasis with retrograde opacification of mediastinal and hilar lymph nodes as well as submucosal lymphatic vessels protruding into the lumen of the tracheo-bronchial tree without evidence of thoracic duct obstruction as well as a "crazy-paving appearance." Congenital incompetence of the valves of the lymphatic vessels originating from the thoracic duct is held to be the cause. Chyloptysis and pulmonary lymphatic disorder should be sought in cases of bronchial cast expectoration. |
| doi_str_mv | 10.1007/s00330-002-1424-0 |
| format | Article |
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The diagnosis of chyloptysis was established by chemical analysis of the bronchial aspiration. We emphasize the radiological findings of this rare observation. The CT-associated lymphangiography showed mediastinal lymphangiectasis with retrograde opacification of mediastinal and hilar lymph nodes as well as submucosal lymphatic vessels protruding into the lumen of the tracheo-bronchial tree without evidence of thoracic duct obstruction as well as a "crazy-paving appearance." Congenital incompetence of the valves of the lymphatic vessels originating from the thoracic duct is held to be the cause. 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| subjects | Aged Bronchial Diseases - complications Bronchial Diseases - diagnosis Chylothorax - complications Chylothorax - diagnosis Diagnosis, Differential Humans Lymphangiectasis - complications Lymphangiectasis - diagnosis Male Recurrence Tomography, X-Ray Computed |
| title | Thoracic lymphangiectasis presenting with chyloptysis and bronchial cast expectoration |
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