+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

The cisterna chyli: prevalence, characteristics and predisposing factors



The cisterna chyli: prevalence, characteristics and predisposing factors



European Radiology 19(1): 73-78



The purpose of this study was to determine the prevalence and characteristics of the cisterna chyli (CC) in a large 3,000-patient cohort and to identify potential predisposing factors for the development of a CC. Three thousand consecutive contrast-enhanced CT examinations (1,261 women, 1,739 men, mean age 61.0 years) of the chest and/or abdomen were included in this retrospective study. Imaging characteristics of the CC (size, attenuation, location) were documented as well as clinical information (malignant disease, pattern of metastasis). A CC was found in 16.1% of the patients with an average volume of 302 microl. The mean attenuation was 4.8 Hounsfield units (HU). Twenty percent of the CC showed CT densities of 15 HU and higher. Patients with malignancies showed a significantly (p < 0.001) higher prevalence of CC (340/1,757, 19.4%) than patients with benign conditions (144/1,243, 11.6%). Especially the finding of a large CC (>1,000 microl) represents an elevated relative risk for malignancy of 1.7 (p = 0.0017). We found a significant association between malignant disease and the presence and size of a cisterna chyli. Identifying the continuity between the CC and the thoracic duct is a safer method to distinguish a CC from retrocrural lymph nodes than near-water CT attenuation alone.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 056262684

Download citation: RISBibTeXText

PMID: 18726599

DOI: 10.1007/s00330-008-1116-5


Related references

Cisterna chyli in patients with malignancy--influence of cardiovascular disease on the prevalence of the cisterna. European Journal of Radiology 79(2): 262-265, 2011

The cisterna chyli: incidence and characteristics on CT. Clinical Imaging 26(1): 18-22, 2002

Ultrasonographic characteristics of the cisterna chyli in eight dogs and four cats. Veterinary Radiology and Ultrasound 54(4): 398-402, 2014

Computed tomographic characteristics of the cisterna chyli in dogs. Veterinary Radiology and Ultrasound 55(1): 29-34, 2015

Cisterna chyli in patients with malignancy--is there a correlation between changes in cisterna volume and progression or regression of the tumor?. European Journal of Radiology 76(2): 177-179, 2010

Depiction of the cisterna chyli at CT. Radiology 202(1): 284, 1997

Dilated cisterna chyli. Jbr-Btr94(1):37, 2011

The cisterna chyli in cattle. Acta Veterinaria Brno 40(2): 139-144, 1971

Injection of cisterna chyli of the calf. Acta vet., Brno 39: 341-343, 1970

The cisterna chyli in orthopedic surgery. Spine 8(7): 787-792, 1983

Left-sided cisterna chyli. Ajr. American Journal of Roentgenology 175(5): 1462, 2000

Cisterna chyli: a detailed anatomic investigation. Clinical Anatomy 20(6): 683-688, 2007

Traumatic injury of the cisterna chyli in a child. Polski Przeglad Chirurgiczny 34: 55-58, 1962

Postural effect on the size of the cisterna chyli. Lymphatic Research and Biology 8(4): 193-197, 2010