Primary lymphedema complicated by weeping chylous vesicles in the leg and scrotum: report of a case.
Identifieur interne : 003F89 ( Main/Exploration ); précédent : 003F88; suivant : 003F90Primary lymphedema complicated by weeping chylous vesicles in the leg and scrotum: report of a case.
Auteurs : Kotaro Suehiro [Japon] ; Noriyasu Morikage ; Masanori Murakami ; Osamu Yamashita ; Kimikazu HamanoSource :
- Surgery today [ 1436-2813 ] ; 2012.
Descripteurs français
- KwdFr :
- Adulte, Anastomose chirurgicale, Chyle, Humains, Lymphangiectasie (), Lymphangiectasie (imagerie diagnostique), Lymphoedème (), Lymphoedème (imagerie diagnostique), Lymphoscintigraphie (), Membre inférieur, Microchirurgie (), Mâle, Résultat thérapeutique, Scrotum (imagerie diagnostique), Scrotum (physiopathologie), Vaisseaux lymphatiques (), Vaisseaux lymphatiques (imagerie diagnostique), Études de suivi.
- MESH :
- imagerie diagnostique : Lymphangiectasie, Lymphoedème, Scrotum, Vaisseaux lymphatiques.
- physiopathologie : Scrotum.
- Adulte, Anastomose chirurgicale, Chyle, Humains, Lymphangiectasie, Lymphoedème, Lymphoscintigraphie, Membre inférieur, Microchirurgie, Mâle, Résultat thérapeutique, Vaisseaux lymphatiques, Études de suivi.
English descriptors
- KwdEn :
- Adult, Anastomosis, Surgical, Chyle, Follow-Up Studies, Humans, Lower Extremity, Lymphangiectasis (complications), Lymphangiectasis (diagnostic imaging), Lymphangiectasis (surgery), Lymphatic Vessels (diagnostic imaging), Lymphatic Vessels (surgery), Lymphedema (complications), Lymphedema (diagnostic imaging), Lymphedema (surgery), Lymphoscintigraphy (methods), Male, Microsurgery (methods), Scrotum (diagnostic imaging), Scrotum (physiopathology), Treatment Outcome.
- MESH :
- complications : Lymphangiectasis, Lymphedema.
- diagnostic imaging : Lymphangiectasis, Lymphatic Vessels, Lymphedema, Scrotum.
- methods : Lymphoscintigraphy, Microsurgery.
- physiopathology : Scrotum.
- surgery : Lymphangiectasis, Lymphatic Vessels, Lymphedema.
- Adult, Anastomosis, Surgical, Chyle, Follow-Up Studies, Humans, Lower Extremity, Male, Treatment Outcome.
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.
DOI: 10.1007/s00595-012-0193-x
PubMed: 22565851
Affiliations:
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Le document en format XML
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Yamaguchi, 755-8505, Japan. ksuehiro-circ@umin.ac.jp</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, 1-1-1 Minamikogushi, Ube, Yamaguchi, 755-8505</wicri:regionArea><wicri:noRegion>755-8505</wicri:noRegion></affiliation></author><author><name sortKey="Morikage, Noriyasu" sort="Morikage, Noriyasu" uniqKey="Morikage N" first="Noriyasu" last="Morikage">Noriyasu Morikage</name></author><author><name sortKey="Murakami, Masanori" sort="Murakami, Masanori" uniqKey="Murakami M" first="Masanori" last="Murakami">Masanori Murakami</name></author><author><name sortKey="Yamashita, Osamu" sort="Yamashita, Osamu" uniqKey="Yamashita O" first="Osamu" last="Yamashita">Osamu Yamashita</name></author><author><name sortKey="Hamano, Kimikazu" sort="Hamano, Kimikazu" uniqKey="Hamano K" first="Kimikazu" last="Hamano">Kimikazu Hamano</name></author></analytic><series><title level="j">Surgery today</title><idno type="eISSN">1436-2813</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Anastomosis, Surgical</term><term>Chyle</term><term>Follow-Up Studies</term><term>Humans</term><term>Lower Extremity</term><term>Lymphangiectasis (complications)</term><term>Lymphangiectasis (diagnostic imaging)</term><term>Lymphangiectasis (surgery)</term><term>Lymphatic Vessels (diagnostic imaging)</term><term>Lymphatic Vessels (surgery)</term><term>Lymphedema (complications)</term><term>Lymphedema (diagnostic imaging)</term><term>Lymphedema (surgery)</term><term>Lymphoscintigraphy (methods)</term><term>Male</term><term>Microsurgery (methods)</term><term>Scrotum (diagnostic imaging)</term><term>Scrotum (physiopathology)</term><term>Treatment Outcome</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Anastomose chirurgicale</term><term>Chyle</term><term>Humains</term><term>Lymphangiectasie ()</term><term>Lymphangiectasie (imagerie diagnostique)</term><term>Lymphoedème ()</term><term>Lymphoedème (imagerie diagnostique)</term><term>Lymphoscintigraphie ()</term><term>Membre inférieur</term><term>Microchirurgie ()</term><term>Mâle</term><term>Résultat thérapeutique</term><term>Scrotum (imagerie diagnostique)</term><term>Scrotum (physiopathologie)</term><term>Vaisseaux lymphatiques ()</term><term>Vaisseaux lymphatiques (imagerie diagnostique)</term><term>Études de suivi</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Lymphangiectasis</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Lymphangiectasis</term><term>Lymphatic Vessels</term><term>Lymphedema</term><term>Scrotum</term></keywords><keywords scheme="MESH" qualifier="imagerie 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chirurgicale</term><term>Chyle</term><term>Humains</term><term>Lymphangiectasie</term><term>Lymphoedème</term><term>Lymphoscintigraphie</term><term>Membre inférieur</term><term>Microchirurgie</term><term>Mâle</term><term>Résultat thérapeutique</term><term>Vaisseaux lymphatiques</term><term>Études de suivi</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">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.</div></front></TEI><affiliations><list><country><li>Japon</li></country></list><tree><noCountry><name sortKey="Hamano, Kimikazu" sort="Hamano, Kimikazu" uniqKey="Hamano K" first="Kimikazu" last="Hamano">Kimikazu Hamano</name><name sortKey="Morikage, Noriyasu" sort="Morikage, Noriyasu" uniqKey="Morikage N" first="Noriyasu" last="Morikage">Noriyasu Morikage</name><name sortKey="Murakami, Masanori" sort="Murakami, Masanori" uniqKey="Murakami M" first="Masanori" last="Murakami">Masanori Murakami</name><name sortKey="Yamashita, Osamu" sort="Yamashita, Osamu" uniqKey="Yamashita O" first="Osamu" last="Yamashita">Osamu Yamashita</name></noCountry><country name="Japon"><noRegion><name sortKey="Suehiro, Kotaro" sort="Suehiro, Kotaro" uniqKey="Suehiro K" first="Kotaro" last="Suehiro">Kotaro Suehiro</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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