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MYRON K. DENNEY, MD; CHARLES E. LUCAS, MD; RAYMOND C. READ, MD

AMA Arch Surg. 1966;92(5):657-663.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

SINCE LYMPH normally contains practically no red cells, the finding of gross hematochylia in patients with cirrhosis is of great interest.¹ The obvious explanation for such contamination of the thoracic duct lymph is leakage of blood from distended liver sinusoids into the spaces of Disse. However, certain of our observations in both man² and animals³ with portal hypertension are inconsistent with this hypothesis. Our previous experience^4,5 with the experimental development of hematochylia in animals with aortocaval fistulae had prompted us to study this phenomenon in patients with cirrhosis as originally reported by Dumont and Mulholland.¹ Additionally, we were interested in their suggestion regarding the therapeutic value of thoracic duct drainage in the management of bleeding varices and refractory ascites.

Clinical Studies

The thoracic duct was cannulated in 19 patients with a diagnosis of cirrhosis of the liver. Of these 13 had been admitted with upper . . . [Full Text PDF of this Article]

Author Affiliations
DETROIT

From the Robert S. Marx Surgical Laboratories of the Department of Surgery, Wayne State University School of Medicine and Detroit Receiving Hospital.

Footnotes
Read before the 73rd Annual Session of the Western Surgical Association, Omaha, Nov 18-20, 1965.

Reprint requests to 1400 Chrysler Freeway, Detroit, Mich 48207 (Dr. Denney).

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