Life-threatening Pulmonary Lymphedema Secondary to Thoracic Duct Ligation

Hiroshi Ohnishi, Takashi Yamane, Naoki Shiota, Akihito Yokoyama
2014 Internal medicine (Tokyo. 1992)  
We herein report an extremely rare adult case presenting with life-threatening pulmonary lymphedema secondary to generalized lymphedema. A 47-year-old woman with generalized lymphedema from her feet to below her chest, had undergone surgical ligation of the thoracic duct and bilateral pleurodesis for the treatment of intractable idiopathic chylothorax three years earlier. Chest computed tomography demonstrated bilateral ground-glass opacities, air-space consolidation and interlobular septal
more » ... rlobular septal wall thickening, presenting as a crazypaving appearance predominantly on the gravity side. Bronchoalveolar lavage revealed marked lymphocytosis. She was treated with long-term oxygen therapy with noninvasive positive-pressure ventilation, followed by lymphovenous anastomoses of the lower extremities.
doi:10.2169/internalmedicine.53.2822 pmid:25318800 fatcat:oyy7hmycxfghjga6d7eeff2lm4