Lymphatic dysfunction after ligation surgery for varicose vein
Identifieur interne : 000E65 ( Main/Exploration ); précédent : 000E64; suivant : 000E66Lymphatic dysfunction after ligation surgery for varicose vein
Auteurs : Hisako Hara [Japon] ; Makoto Mihara [Japon] ; Kyoko Hasegawa [Japon] ; Kazuko Yamanaka [Japon]Source :
- SAGE Open Medical Case Reports [ 2050-313X ] ; 2016.
Abstract
Although the lymphatic complications such as lymphocele sometimes occur after surgery for varicose veins, the lymphatic function of such patients has not been evaluated. In this case report, we present a case of lymphocele after ligation surgery for varicose vein. We also detected subclinical dysfunction in lower limb using indocyanine green (ICG) lymphography.
A 76 year- old female underwent ligation surgery for right lower leg varicose vein, and she noticed the squashy lesion in the medial side of the right knee. Three years later, she consulted our clinic and we performed ICG lymphography. We observed dermal backflow around the mass, which indicated lymphatic dysfunction. After injecting additional ICG around the knee, we punctured and drained the clear, yellow fluid from the mass and it was contrasted with ICG during the examination and the involvement of the lymphatic system was proven.
Url:
DOI: 10.1177/2050313X16672154
PubMed: 27757234
PubMed Central: 5051666
Affiliations:
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<front><div type="abstract" xml:lang="en"><sec id="section1-2050313X16672154"><title>Objective:</title>
<p>Although the lymphatic complications such as lymphocele sometimes occur after surgery for varicose veins, the lymphatic function of such patients has not been evaluated. In this case report, we present a case of lymphocele after ligation surgery for varicose vein. We also detected subclinical dysfunction in lower limb using indocyanine green (ICG) lymphography.</p>
</sec>
<sec id="section2-2050313X16672154"><title>Case report:</title>
<p>A 76 year- old female underwent ligation surgery for right lower leg varicose vein, and she noticed the squashy lesion in the medial side of the right knee. Three years later, she consulted our clinic and we performed ICG lymphography. We observed dermal backflow around the mass, which indicated lymphatic dysfunction. After injecting additional ICG around the knee, we punctured and drained the clear, yellow fluid from the mass and it was contrasted with ICG during the examination and the involvement of the lymphatic system was proven.</p>
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