Primary chylous vaginal discharge in a 9-year-old girl: CT-lymphangiogram and MR appearance.

Abstract:

:Chylous reflux is a manifestation of primary or secondary lymphatic obstruction. Primary lymphatic obstruction is defined as lymphangiectasia and incompetency of lymphatic valves without an underlying cause. Lymphangiectasia resulting from trauma, neoplasm, irradiation, or inflammation characterizes secondary lymphatic obstruction. Leakage of chyle into the uterus, vagina, bladder, or rectum can occur with either primary or secondary lymphatic obstruction. We report a patient with chylous vaginal discharge, a rare presentation of primary chylous reflux syndrome. CT-lymphangiography and magnetic resonance imaging clearly depicted this disorder. To our knowledge, only 20 cases of chylous vaginal discharge have been reported previously; chylous vaginal drainage occurred in the absence of chylous uterine reflux in only three. Although this is a rare anomaly, chylous reflux should be considered in a child with chronic vaginal discharge and lower extremity swelling.

journal_name

Pediatr Radiol

journal_title

Pediatric radiology

authors

Shahlaee AH,Burton EM,Sabio H,Plouffe L Jr,Teeslink R

doi

10.1007/s002470050219

subject

Has Abstract

pub_date

1997-09-01 00:00:00

pages

755-7

issue

9

eissn

0301-0449

issn

1432-1998

journal_volume

27

pub_type

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