Idiopathic portal hypertension and lower limb lymphedema.
Identifieur interne : 004249 ( Main/Exploration ); précédent : 004248; suivant : 004250Idiopathic portal hypertension and lower limb lymphedema.
Auteurs : H. Hara [Japon] ; M. Mihara ; M. Narushima ; T. Iida ; T. Todokoro ; T. Yamamoto ; I. Okuda ; I. KoshimaSource :
- Lymphology [ 0024-7766 ] ; 2012.
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Membre inférieur.
- diagnostic : Hypertension portale, Lymphoedème.
- Adulte, Anastomose chirurgicale, Diagnostic différentiel, Humains, Hypertension portale, Lymphoedème, Lymphoscintigraphie, Membre inférieur, Mâle.
English descriptors
- KwdEn :
- Adult, Anastomosis, Surgical, Diagnosis, Differential, Humans, Hypertension, Portal (complications), Hypertension, Portal (diagnosis), Hypertension, Portal (surgery), Lower Extremity (pathology), Lower Extremity (surgery), Lymphedema (complications), Lymphedema (diagnosis), Lymphedema (surgery), Lymphoscintigraphy, Male.
- MESH :
- complications : Hypertension, Portal, Lymphedema.
- diagnosis : Hypertension, Portal, Lymphedema.
- pathology : Lower Extremity.
- surgery : Hypertension, Portal, Lower Extremity, Lymphedema.
- Adult, Anastomosis, Surgical, Diagnosis, Differential, Humans, Lymphoscintigraphy, Male.
Abstract
Idiopathic lymphedema is a condition where lymph accumulates in subcutaneous tissue without a clear cause. Likewise, idiopathic portal hypertension is a syndrome where intrahepatic peripheral portal branch obstruction causes portal hypertension without a clear cause. We encountered a 37-year-old man with both idiopathic lymphedema and idiopathic portal hypertension. He had a history of right lower limb edema and epigastric varices since childhood with repeated cellulitis in the affected limb. Lymph accumulation and dilation of collateral lymph pathways in the right lower limb were observed by indocyanine green and lymphoscintigraphy, and a serpentine thoracic duct was observed using MRI. Idiopathic portal hypertension and idiopathic lymphedema were diagnosed, and peripheral lymphaticovenous anastomosis was performed for treatment of lymphedema. The limb circumference improved, and the frequency of cellulitis decreased. It is postulated that an abnormality in the embryonic cardinal vein before lymph vessel differentiation could be a possible mechanism of the dual pathologic conditions.
PubMed: 23057151
Affiliations:
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Narushima</name></author><author><name sortKey="Iida, T" sort="Iida, T" uniqKey="Iida T" first="T" last="Iida">T. Iida</name></author><author><name sortKey="Todokoro, T" sort="Todokoro, T" uniqKey="Todokoro T" first="T" last="Todokoro">T. Todokoro</name></author><author><name sortKey="Yamamoto, T" sort="Yamamoto, T" uniqKey="Yamamoto T" first="T" last="Yamamoto">T. Yamamoto</name></author><author><name sortKey="Okuda, I" sort="Okuda, I" uniqKey="Okuda I" first="I" last="Okuda">I. Okuda</name></author><author><name sortKey="Koshima, I" sort="Koshima, I" uniqKey="Koshima I" first="I" last="Koshima">I. 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Hara</name><affiliation wicri:level="3"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, The University of Tokyo Hospital, Tokyo, Japan. hisako_hara@hotmail.co.jp</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, The University of Tokyo Hospital, Tokyo</wicri:regionArea><placeName><settlement type="city">Tokyo</settlement><region type="région">Région de Kantō</region></placeName></affiliation></author><author><name sortKey="Mihara, M" sort="Mihara, M" uniqKey="Mihara M" first="M" last="Mihara">M. Mihara</name></author><author><name sortKey="Narushima, M" sort="Narushima, M" uniqKey="Narushima M" first="M" last="Narushima">M. Narushima</name></author><author><name sortKey="Iida, T" sort="Iida, T" uniqKey="Iida T" first="T" last="Iida">T. Iida</name></author><author><name sortKey="Todokoro, T" sort="Todokoro, T" uniqKey="Todokoro T" first="T" last="Todokoro">T. Todokoro</name></author><author><name sortKey="Yamamoto, T" sort="Yamamoto, T" uniqKey="Yamamoto T" first="T" last="Yamamoto">T. Yamamoto</name></author><author><name sortKey="Okuda, I" sort="Okuda, I" uniqKey="Okuda I" first="I" last="Okuda">I. Okuda</name></author><author><name sortKey="Koshima, I" sort="Koshima, I" uniqKey="Koshima I" first="I" last="Koshima">I. Koshima</name></author></analytic><series><title level="j">Lymphology</title><idno type="ISSN">0024-7766</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>Diagnosis, Differential</term><term>Humans</term><term>Hypertension, Portal (complications)</term><term>Hypertension, Portal (diagnosis)</term><term>Hypertension, Portal (surgery)</term><term>Lower Extremity (pathology)</term><term>Lower Extremity (surgery)</term><term>Lymphedema (complications)</term><term>Lymphedema (diagnosis)</term><term>Lymphedema (surgery)</term><term>Lymphoscintigraphy</term><term>Male</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Anastomose chirurgicale</term><term>Diagnostic différentiel</term><term>Humains</term><term>Hypertension portale ()</term><term>Hypertension portale (diagnostic)</term><term>Lymphoedème ()</term><term>Lymphoedème (diagnostic)</term><term>Lymphoscintigraphie</term><term>Membre inférieur ()</term><term>Membre inférieur (anatomopathologie)</term><term>Mâle</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Membre inférieur</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Hypertension, Portal</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Hypertension, Portal</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Hypertension portale</term><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Lower Extremity</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Hypertension, Portal</term><term>Lower Extremity</term><term>Lymphedema</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Anastomosis, Surgical</term><term>Diagnosis, Differential</term><term>Humans</term><term>Lymphoscintigraphy</term><term>Male</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Anastomose chirurgicale</term><term>Diagnostic différentiel</term><term>Humains</term><term>Hypertension portale</term><term>Lymphoedème</term><term>Lymphoscintigraphie</term><term>Membre inférieur</term><term>Mâle</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Idiopathic lymphedema is a condition where lymph accumulates in subcutaneous tissue without a clear cause. Likewise, idiopathic portal hypertension is a syndrome where intrahepatic peripheral portal branch obstruction causes portal hypertension without a clear cause. We encountered a 37-year-old man with both idiopathic lymphedema and idiopathic portal hypertension. He had a history of right lower limb edema and epigastric varices since childhood with repeated cellulitis in the affected limb. Lymph accumulation and dilation of collateral lymph pathways in the right lower limb were observed by indocyanine green and lymphoscintigraphy, and a serpentine thoracic duct was observed using MRI. Idiopathic portal hypertension and idiopathic lymphedema were diagnosed, and peripheral lymphaticovenous anastomosis was performed for treatment of lymphedema. The limb circumference improved, and the frequency of cellulitis decreased. It is postulated that an abnormality in the embryonic cardinal vein before lymph vessel differentiation could be a possible mechanism of the dual pathologic conditions.</div></front></TEI><affiliations><list><country><li>Japon</li></country><region><li>Région de Kantō</li></region><settlement><li>Tokyo</li></settlement></list><tree><noCountry><name sortKey="Iida, T" sort="Iida, T" uniqKey="Iida T" first="T" last="Iida">T. Iida</name><name sortKey="Koshima, I" sort="Koshima, I" uniqKey="Koshima I" first="I" last="Koshima">I. Koshima</name><name sortKey="Mihara, M" sort="Mihara, M" uniqKey="Mihara M" first="M" last="Mihara">M. Mihara</name><name sortKey="Narushima, M" sort="Narushima, M" uniqKey="Narushima M" first="M" last="Narushima">M. Narushima</name><name sortKey="Okuda, I" sort="Okuda, I" uniqKey="Okuda I" first="I" last="Okuda">I. Okuda</name><name sortKey="Todokoro, T" sort="Todokoro, T" uniqKey="Todokoro T" first="T" last="Todokoro">T. Todokoro</name><name sortKey="Yamamoto, T" sort="Yamamoto, T" uniqKey="Yamamoto T" first="T" last="Yamamoto">T. Yamamoto</name></noCountry><country name="Japon"><region name="Région de Kantō"><name sortKey="Hara, H" sort="Hara, H" uniqKey="Hara H" first="H" last="Hara">H. Hara</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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