Lymphoedema of the upper limb: a rare complication of thyroid surgery?
Identifieur interne : 000E38 ( Main/Exploration ); précédent : 000E37; suivant : 000E39Lymphoedema of the upper limb: a rare complication of thyroid surgery?
Auteurs : Christopher Stephen [Royaume-Uni] ; David Alexander Munnoch [Royaume-Uni]Source :
- BMJ case reports [ 1757-790X ] ; 2016.
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Membre supérieur.
- effets indésirables : Thyroïdectomie.
- étiologie : Lymphoedème.
- Adulte, Complications postopératoires, Femelle, Goitre, Humains, Lipectomie, Lymphoedème.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Thyroidectomy.
- etiology : Lymphedema.
- pathology : Upper Extremity.
- surgery : Goiter, Lymphedema.
- Adult, Female, Humans, Lipectomy, Postoperative Complications.
Abstract
A 40-year-old woman underwent an elective thyroidectomy for a non-toxic, multinodular goitre. In the early postoperative period, the patient developed a significant unilateral swelling of the right upper limb, which was subsequently confirmed to be lymphoedema. This was eventually treated successfully using liposuction and compression garment therapies. We report the case due to its rarity and present a possible explanation for such an unexpected complication based on known anatomical variations of lymphatic drainage of the upper limb.
DOI: 10.1136/bcr-2016-214376
PubMed: 27090542
Affiliations:
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Le document en format XML
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<affiliation wicri:level="1"><nlm:affiliation>Department of Plastic Surgery, Ninewells Hospital, Dundee, UK.</nlm:affiliation>
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<term>Goiter (surgery)</term>
<term>Humans</term>
<term>Lipectomy</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (surgery)</term>
<term>Postoperative Complications</term>
<term>Thyroidectomy (adverse effects)</term>
<term>Upper Extremity (pathology)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Complications postopératoires</term>
<term>Femelle</term>
<term>Goitre ()</term>
<term>Humains</term>
<term>Lipectomie</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (étiologie)</term>
<term>Membre supérieur (anatomopathologie)</term>
<term>Thyroïdectomie (effets indésirables)</term>
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<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Thyroidectomy</term>
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<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Membre supérieur</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Thyroïdectomie</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Upper Extremity</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Goiter</term>
<term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term>
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<term>Humans</term>
<term>Lipectomy</term>
<term>Postoperative Complications</term>
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<term>Complications postopératoires</term>
<term>Femelle</term>
<term>Goitre</term>
<term>Humains</term>
<term>Lipectomie</term>
<term>Lymphoedème</term>
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<front><div type="abstract" xml:lang="en">A 40-year-old woman underwent an elective thyroidectomy for a non-toxic, multinodular goitre. In the early postoperative period, the patient developed a significant unilateral swelling of the right upper limb, which was subsequently confirmed to be lymphoedema. This was eventually treated successfully using liposuction and compression garment therapies. We report the case due to its rarity and present a possible explanation for such an unexpected complication based on known anatomical variations of lymphatic drainage of the upper limb.</div>
</front>
</TEI>
<affiliations><list><country><li>Royaume-Uni</li>
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<tree><country name="Royaume-Uni"><noRegion><name sortKey="Stephen, Christopher" sort="Stephen, Christopher" uniqKey="Stephen C" first="Christopher" last="Stephen">Christopher Stephen</name>
</noRegion>
<name sortKey="Munnoch, David Alexander" sort="Munnoch, David Alexander" uniqKey="Munnoch D" first="David Alexander" last="Munnoch">David Alexander Munnoch</name>
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