Document Detail

Thoracic duct lymph in a patient with chylous ascites and a carcinoid tumor.
MedLine Citation:
PMID:  2632995     Owner:  NLM     Status:  MEDLINE    
An adult patient with both intraabdominal carcinoid tumor and chylous ascites underwent thoracic duct drainage in an attempt to relieve accumulation of intraabdominal fluid. After cannulation of the left cervical thoracic duct, lymph flow rate was normal (1.4ml/min) and 24 hours of drainage was without effect on the ascites. In contrast to the chylous nature of the ascitic fluid, however, thoracic duct lymph was non-chylous and its protein content was lower than that of the ascitic fluid. The administration of secretin intravenously increased both the flow and amylase content of thoracic duct lymph. These observations signify that the chylous ascitic fluid neither leaked from nor had access to thoracic duct lymph but originated instead from obstructed mesenteric lacteals.
A E Dumont; N Libby
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Lymphology     Volume:  22     ISSN:  0024-7766     ISO Abbreviation:  Lymphology     Publication Date:  1989 Dec 
Date Detail:
Created Date:  1990-05-14     Completed Date:  1990-05-14     Revised Date:  2006-11-03    
Medline Journal Info:
Nlm Unique ID:  0155112     Medline TA:  Lymphology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  199-201     Citation Subset:  IM    
Department of Surgery, New York University School of Medicine, New York.
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MeSH Terms
Abdominal Neoplasms / complications*,  physiopathology
Ascitic Fluid / physiopathology*
Carcinoid Tumor / complications*,  physiopathology
Chylous Ascites / complications*,  physiopathology,  therapy
Lymph / physiology*
Middle Aged
Thoracic Duct

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