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Bhavin Jankharia
Current Case:
63-years old, CKD on dialysis for 4 years developed bilateral chylothoraces 3 months ago and was referred for a CT lymphangiogram (CTL)
While there are different ways of doing lymphangiograms, a relatively new technique is CTL with intranodal injection of non-ionic iodinated contrast and rapid scanning within 2-5 minutes.
The video explains what I did - injecting a retroperitoneal node in the prone position instead of an inguinal node with a successful CTL showing lymphatic duct obstruction at the D5-6 level.
The paradigm has changed. This procedure is now simple and can be performed by anyone who can put a needle into a node proximal to the site of obstruction with intranodal injectino of regular non-ionic iodinated contrast.