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Erschienen in: Surgery Today 11/2012

01.11.2012 | Case Report

Primary lymphedema complicated by weeping chylous vesicles in the leg and scrotum: report of a case

verfasst von: Kotaro Suehiro, Noriyasu Morikage, Masanori Murakami, Osamu Yamashita, Kimikazu Hamano

Erschienen in: Surgery Today | Ausgabe 11/2012

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Abstract

We report a case of primary lymphedema complicated by leaking chylous vesicles in the toe and scrotum, caused by lymphangiectasia, which was eventually managed with lymphaticovenular anastomoses after conservative treatments proved ineffective. The patient was a 25-year-old man with a 5-year history of massive swelling with chylous weeping of his right leg and scrotum. Lymphangioscintigraphy (LAS) showed dilated iliac lymph trunks causing lymph reflux. Although he was instructed in standard methods of complex therapy, it did not alleviate his symptoms. Because of the increasing frequency of cellulitis, lymphatic surgery was finally indicated. The operation consisted of lymphaticovenous anastomoses (LVA) in the ankle and groin, using a super-micro-surgical technique. After surgery, his symptoms resolved and have been controlled by self-care. Thus, early LAS to confirm the dilated iliac lymph trunks causing lymph reflux, followed by LVA might be beneficial for the management of this disease.
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Metadaten
Titel
Primary lymphedema complicated by weeping chylous vesicles in the leg and scrotum: report of a case
verfasst von
Kotaro Suehiro
Noriyasu Morikage
Masanori Murakami
Osamu Yamashita
Kimikazu Hamano
Publikationsdatum
01.11.2012
Verlag
Springer Japan
Erschienen in
Surgery Today / Ausgabe 11/2012
Print ISSN: 0941-1291
Elektronische ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-012-0193-x

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