Thoracic Duct-Venous Junction Obstruction As Unknown Cause of Abdominal Pain: Diagnosis and Treatment.

HomeRadiologyVol. 308, No. 2 PreviousNext Original ResearchVascular and Interventional RadiologyThoracic Duct–Venous Junction Obstruction as Unknown Cause of Abdominal Pain: Diagnosis and TreatmentCathal O’Leary , Gregory Nadolski, Stephen J. Kovach III, Jasmine Zheng, Aenov Cohen, David E. Kaplan, Maxim ItkinCathal O’Leary , Gregory Nadolski, Stephen J. Kovach III, Jasmine Zheng, Aenov Cohen, David E. Kaplan, Maxim ItkinAuthor AffiliationsFrom the Division of Interventional Radiology (C.O., G.N., M.I.), Division of Plastic Surgery (S.J.K.), Department of Physical Medicine and Rehabilitation (J.Z.), and Division of Gastroenterology and Hepatology (D.E.K.), University of Pennsylvania Health System, Philadelphia, PA 19104; and Department of Interventional Radiology, Rabin Medical Center, Petah Tikva, Israel (A.C.).Address correspondence to C.O. (email: cathal.o’[email protected]).Cathal O’Leary Gregory NadolskiStephen J. Kovach IIIJasmine ZhengAenov CohenDavid E. KaplanMaxim ItkinPublished Online:Aug 1 2023https://doi.org/10.1148/radiol.230380MoreSectionsFull textPDF ToolsAdd to favoritesCiteTrack CitationsPermissionsReprints ShareShare onFacebookTwitterLinked In AbstractThoracic duct–venous junction occlusion or stenosis is an unknown cause of abdominal pain and/or bloating; surgical and percutaneous lymphatic decompression may provide relief of symptoms.Download as PowerPointReferences1. Bernier-Latmani J, Petrova TV. Intestinal lymphatic vasculature: structure, mechanisms and functions. Nat Rev Gastroenterol Hepatol 2017;14(9):510–526. Crossref, Medline, Google Scholar2. Ratnayake CBB, Escott ABJ, Phillips ARJ, Windsor JA. The anatomy and physiology of the terminal thoracic duct and ostial valve in health and disease: potential implications for intervention. J Anat 2018;233(1):1–14. Crossref, Medline, Google Scholar3. Shehadeh IH, Guttmann RD, Murray JE, Merrill JP. Thoracic duct drainage and low back pain. JAMA 1969;207(3):558–559. Crossref, Medline, Google Scholar4. Othman S, Azoury SC, Klifto K, Toyoda Y, Itkin M, Kovach SJ. Microsurgical thoracic duct lymphovenous bypass in the adult population. Plast Reconstr Surg Glob Open 2021;9(10):e3875. Crossref, Medline, Google Scholar5. Pieper CC. Back to the Future II—a comprehensive update on the rapidly evolving field of lymphatic imaging and interventions. Invest Radiol 2023. https://doi.org/10.1097/RLI.0000000000000966. Published online April 12, 2023. Google Scholar6. Reisen B, Kovach SJ, Levin LS, et al. Thoracic duct-to-vein anastomosis for the management of thoracic duct outflow obstruction in newborns and infants: a CASE series. J Pediatr Surg 2020;55(2):234–239. Crossref, Medline, Google ScholarArticle HistoryReceived: Feb 16 2023Revision requested: Mar 24 2023Revision received: June 22 2023Accepted: June 26 2023Published online: Aug 01 2023 FiguresReferencesRelatedDetailsRecommended Articles Imaging and Interventions for Lymphatic and Lymphatic-related DisordersRadiology2023Volume: 307Issue: 3Lymphatic Intervention for Various Types of Lymphorrhea: Access and TreatmentRadioGraphics2016Volume: 36Issue: 7pp. 2199-2211Interventional Management of Acquired Lymphatic DisordersRadioGraphics2022Volume: 42Issue: 6pp. 1621-1637Diagnosis and Management of Complications from Percutaneous Biliary Tract InterventionsRadioGraphics2017Volume: 37Issue: 2pp. 665-680Imaging Findings of Thoracic Lymphatic AbnormalitiesRadioGraphics2022Volume: 42Issue: 5pp. 1265-1282See More RSNA Education Exhibits Imaging and Interventional Procedures of the Lymphatic SystemDigital Posters2019Stepwise Percutaneous Approach to Treat Severe Benign Hepaticojejunostomy StricturesDigital Posters2022Various Interventional Procedures Through Percutaneous Cholecystostomy TractDigital Posters2022 RSNA Case Collection Hot Quadrate SignRSNA Case Collection2022Obstructing Femoral HerniaRSNA Case Collection2021Pancreatic Pseudocyst to Portal Vein FistulaRSNA Case Collection2021 Vol. 308, No. 2 Abbreviations Abbreviation: TD thoracic duct Metrics Altmetric Score PDF download