Disorders of the lymphatic system of the abdomen

      The lymphatic system of the abdomen comprises of the cisterna chyli, its major and minor lymphatic tributaries, and lymph nodes. Disorders of the lymphatic system of the abdomen are rarely encountered and consist of primary and secondary types. Abdominal lymphangiomas constitute the majority and have characteristic imaging features. Complicated lymphangiomas may pose a diagnostic dilemma. Generalised systemic lymphangiomatosis is a rare condition and affects major organs with a poor prognosis. Retroperitoneal lymphangiectasia in the appropriate setting might predict underlying infection, such as filariasis. Other acquired conditions include iatrogenic or treatment-induced chylocoele. Chylous ascites can be secondary to multiple causes and can be confirmed by biochemical testing and lymphangiogram in appropriate settings.
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      Linked Article

      • Re: Disorders of the lymphatic system of the abdomen
        Clinical RadiologyVol. 72Issue 1
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          Sir – We read with interest the article by Patil et al.1 in a recent issue of Clinical Radiology. They presented an excellent review of lymphatic disorders of the abdomen. We would like to thank the authors for their contribution; however, we would like to bring to the attention of readers important errors regarding the diagnostic terminology used in the review and highlight why correct terminology is important.
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      • Re: Disorders of the lymphatic system of the abdomen. A reply
        Clinical RadiologyVol. 72Issue 1
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          Sir—We thank Drs Patel and Barnacle for their interest in our article and their effort to improve its credibility by pointing out important terminology changes. The authors are aware of the ISSVA classification regarding vascular anomalies. We strongly agree with the need for a uniform usage of classification and to avoid misnomers that might create confusion and change patient management. As commented, the awareness of advancements in vascular anomalies may be limited to high-referral tertiary centres.
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