Intranodal Ultrasound-Guided Percutaneous Methylene Blue Injection for the Identification of Leakage Point during Laparoscopic Repair of Refractory Chylous Ascites after Laparoscopic Lymphadenectomy for Kidney Cancer

Figure 5

Identification of the point of chylous leakage. External (a) and ultrasound vision (b) of a transnodal injection of methylene blue under image guidance (lymph node, head arrow; needle, and arrow). Two leak points (stars) can be observed in the retroperitoneum (c) after seven minutes of percutaneous administration of methylene blue.

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(b)

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