Gorhams disease: vanishing bone syndrome.
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Gorhams disease, also known as massive osteolysis or vanishing bone disease is an extremely rare bone disease. It is characterized by angiomatosis with adjacent bone resorption. We report an 8-years old boy with the disease who was managed successfully with alpha 2b interferon therapy. (+info)
Chyloptysis with right middle lobe syndrome complicated postoperatively by chylothorax: an unusual cause of right middle lobe syndrome.
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Chyloptysis, in the context of middle lobe syndrome, and chylothorax are rare clinical entities. They are reported in the medical literature mostly as case reports, but never together in the same patient. The present report describes the case of a 34-year-old woman who presented with chyloptysis associated with recurrent right middle lobe syndrome since she was 20 years of age, and eventually underwent right middle lobectomy. A few weeks postoperatively, she developed a right-sided chylothorax, which was refractory to medical therapy, and was successfully treated with thoracic duct ligation. She has been symptom-free for two years postsurgery. (+info)
Chylothorax after surgical treatment of right-sided thoracic outlet syndrome.
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Visualization of the thoracic duct with injections of dyes or contrast media into the testicular parenchyma in the rabbit.
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The thoracic duct drains lymph from the caudal part of the body to the venous system. The visualization of the thoracic duct is important for diagnosis of chylothorax, which may be caused by the damage of the duct. However, it is not easy to visualize the thoracic duct by injecting dyes and/or contrast media into peripheral lymph nodes and mesenteric lymphatics. In the present study, we examined whether the thoracic duct can be visualized by injecting dyes and contrast media directly into the testicular parenchyma. Under deep pentobarbital anesthesia, 14 male Japanese White rabbits were percutaneously injected with dyes (India ink or methylene blue) or contrast media (iohexol 240, 300, or Lipiodol(TM)) into the testicular parenchyma. Then, we grossly observed the stained thoracic duct or took radiographs and CT images of the duct. In all cases with dyes injections, the thoracic duct was successfully visualized. We observed stained lymphatic vessels from the testis to the duct. In case of contrast media injections, the thoracic duct was visualized with X-ray and CT imaging, when 1.5-2.0 ml per one testis of iohexol 240 at 37 degrees C were injected into the right or both testes. The duct was most clearly visible, 3-5 min after the injections. The results show that the thoracic duct is reliably visualized simply by injecting dyes or contrast media into the testicular parenchyma. Our visualization method may also be applicable to the diagnosis of chylothorax in male animals. (+info)
Chylothorax: aetiology, diagnosis and therapeutic options.
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