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Review
. 2020 Oct;37(4):414-419.
doi: 10.1055/s-0040-1715876. Epub 2020 Oct 1.

Pediatric Lymphatics Review: Current State and Future Directions

Deborah Rabinowitz  1   2 , Maxim Itkin  3   4
Affiliations
Review

Pediatric Lymphatics Review: Current State and Future Directions

Deborah Rabinowitz et al. Semin Intervent Radiol. 2020 Oct.
No abstract available

PubMed Disclaimer

Conflict of interest statement

Conflicts of Interest None declared.

Figures

Fig. 1
Fig. 1
( a ) Dynamic contrast-enhanced magnetic resonance lymphangiography of pulmonary lymphatic flow demonstrating contrast within the pulmonary lymphatics (arrowheads). ( b ) Fluoroscopic spot image of transnodal embolization with lipiodol demonstrating stasis within the pulmonary lymphatic ducts (arrowhead).
Fig. 2
Fig. 2
( a ) T2-weighted coronal MR sequences of patient with neonatal chylous ascites, demonstrating diffuse ascites and retroperitoneal mass (arrowheads). ( b ) Dynamic contrast-enhanced magnetic resonance lymphangiography of the same patient demonstrating opacification of the retroperitoneal masses (arrow) and leak of contrast into peritoneal space (arrowhead).
Fig. 3
Fig. 3
( a ) Dynamic contrast-enhanced magnetic resonance lymphangiography of a patient with central lymphatic flow disorder, demonstrating stasis of contrast in the retroperitoneal lymphatic system with retrograde dermal filling (arrows) in lack of advancement of the contrast in thoracic duct (star). ( b ) Fluoroscopy image of the same patient, showing direct injection of the cisterna chyli with 25G needle (arrow) in the upper retroperitoneum, opacifying thoracic duct (arrowhead).
Fig. 4
Fig. 4
Dynamic contrast-enhanced magnetic resonance lymphangiography of the patient with Kaposiform lymphangiomatosis, demonstrating abnormal pulmonary lymphatic flow (white arrow) from the thoracic duct (black arrow) and retroperitoneum (arrowhead). (Reprinted from: Itkin M, Rabinowitz D, Nadolski G, Stafler P, Mascarenhas L, Adams D. Abnormal pulmonary lymphatic flow in patients with lymphatic anomalies and respiratory compromise on MR lymphangiogram. Chest 2019:A7386-A7386.)
Fig. 5
Fig. 5
Dynamic contrast-enhanced magnetic resonance lymphangiography image of the single ventricle patient with plastic bronchitis, demonstrating abnormal pulmonary flow (arrows) from the thoracic duct (arrowhead).
Fig. 6
Fig. 6
Fluoroscopic image of the liver lymphangiography performed through 25G needle (arrow) demonstrating leakage of the contrast in the duodenum (arrowheads).
See this image and copyright information in PMC

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