Images in vascular medicine

Dendorfer, U; Rademacher, A; Rieger, Johannes; Hoffmann, Ulrich

doi:10.1191/1358863x04vm535xx

Cited by 7 publications

(20 citation statements)

References 5 publications

(3 reference statements)

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“…This type of swelling was reported by Dendorfer [ 8 ] as a recurrent symptom in a 33-year-old patient. Is was considered as an isolated symptom, probably caused by cystic dilatation of unknown origin of the cervical portion of the thoracic duct.…”

Section: Discussionsupporting

confidence: 68%

“…Abdominal sonography of the patient was reported being normal. Nevertheless, there was a major discordance with the other symptoms [ 8 ] – diffuse abdominal and flank tenderness, fullness, flatulence, increase of waist circumference, and weight gain [ 8 ] – all symptoms that could better be compatible with overlooked abdominal extension.…”

Section: Discussionmentioning

confidence: 99%

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Extensive Cervico-Thoraco-Abdominal Attacks of Angioedema: CT Diagnosis in Two Unusual Cases

Coulier

Montfort²,

Vandezande³

et al. 2017

Journal of the Belgian Society of Radiology

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Angioedema (AE) classically manifests as an acute transient swelling of extra-visceral spaces, subcutaneous and submucosal tissues. Sometimes it may be a life-threatening condition. The causes are numerous, and the common denominator is an increased vascular permeability allowing diffusion or extravasation of fluid from the vascular bed to the interstitial space. The severity of AE is related to the cause, body location, and extension. We hereby report two very unusual cases characterized by a massive attack of AE from the left cervical area to the pelvis through the length of the mediastinum and axial posterior retroperitoneum. The diagnosis was established by CT. The first case was found related to drug intake, and the second appeared idiopathic.

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Section: Discussionsupporting

confidence: 68%

Section: Discussionmentioning

confidence: 99%

Extensive Cervico-Thoraco-Abdominal Attacks of Angioedema: CT Diagnosis in Two Unusual Cases

Coulier

Montfort²,

Vandezande³

et al. 2017

Journal of the Belgian Society of Radiology

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“…[7,20] It may show a cystic lesion, hypoechogenic to echofree mass, with no connections to vessels, sono compressible, sharply outlined, with no internal perfusion. [2,4,9,10,12,18] In the acute phase, tomodensitometry can show a dilation of the thoracic duct or cysts located adjacent to the left internal jugular vein. [15,18] Cervical soft tissue surrounding the cyst can appear infiltrated with edematous fluid.…”

Section: Discussionmentioning

confidence: 99%

“…[15,18] Cervical soft tissue surrounding the cyst can appear infiltrated with edematous fluid. [12] The mass is hypoechoic, homogenous, thin-walled, and emit water attenuation signal inside. [5][6][7] An MRI can highlight bright lesions on the T1 and T2weighted imaging results arising from the thoracic duct close to the left subclavian vessels, [6,18] sometimes with dilated a thoracic duct and apparent communication of the cyst with the thoracic duct.…”

Section: Discussionmentioning

confidence: 99%

“…During the acute phase, ultrasound imaging showed infiltrated subcutaneous tissue with a hypoechoic mass with liquid in the left supraclavicular fossa in some cases. [9,12] Tomodensitometry showed an inconsistent cystic mass in the left supraclavicular region combined with an infiltration of the soft tissue in the left side of the neck. [9,16] Tomodensitometry could also have shown pleural effusion or ascites.…”

Section: Imaging and Complementary Testsmentioning

confidence: 99%

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Recurrent thoracic duct cyst of the left supraclavicular fossa

et al. 2021

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The transient occlusion of the terminal thoracic duct is a rare disease responsible for renitent supraclavicular cysts. The aim of this study was to describe the clinical characteristics, evolution, and treatment. A retrospective multicenter study and literature review was carried out. The literature search (PubMed) was conducted including data up to 31 December 2020 and PRISMA guidelines were respected. This study identified 6 observational cases between September 2010 and December 2020. The search results indicated a total of 24 articles of which 19 were excluded due to the lack of recurrent swelling or the unavailability of full texts (n = 5). Fourteen patients (8 from literature) mostly reported a noninflammatory, painless renitent mass in the supraclavicular fossa which appeared rapidly over a few hours and disappeared spontaneously over an average of 8 days (range: from about 2 hours to 10 days). Anamnesis indicated a high-fat intake during the preceding days in all cases and 7 from literature found in the Medline databases. Recurrences were noted in 10 patients. Thoracic duct imaging was performed in all cases to detect abnormalities or extrinsic compression as well as to eliminate differential diagnoses. A painless, fluctuating, noninflammatory, and recurrent swelling of the left supraclavicular fossa in patients evoking an intermittent obstruction of the terminal portion of the thoracic duct was identified. A low-fat diet was found as safe and effective treatment.

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Recurrent Lymphangiectasia of the Left Supraclavicular Fossa: An Unusual Cause of Paroxystic Swelling

Varron¹

2011

Arch Dermatol

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Images in vascular medicine

Cited by 7 publications

References 5 publications

Extensive Cervico-Thoraco-Abdominal Attacks of Angioedema: CT Diagnosis in Two Unusual Cases

Extensive Cervico-Thoraco-Abdominal Attacks of Angioedema: CT Diagnosis in Two Unusual Cases

Recurrent thoracic duct cyst of the left supraclavicular fossa

Recurrent Lymphangiectasia of the Left Supraclavicular Fossa: An Unusual Cause of Paroxystic Swelling

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