Figure 2.

71-year-old man with bilateral chylothorax after esophagectomy. (A) X-ray lymphangiography demonstrated transection of the thoracic duct in the lower thorax with active leakage of contrast agent. After puncture of the thoracic duct, the inserted micro-wire already exits the thoracic duct at the leakage-site. (B) After thoracic duct embolization with micro-coils and a mixture of NBCA/iodized oil (ratio 1:2) leakage ceased immediately without recurrence or clinical sequelae over a follow-up time of 2.5 years.