Lymphaticovenous shunt for the treatment of chylous reflux by subcutaneous vein grafts with valves between megalymphatics and the great saphenous vein: A case report
Identifieur interne : 005C78 ( Main/Exploration ); précédent : 005C77; suivant : 005C79Lymphaticovenous shunt for the treatment of chylous reflux by subcutaneous vein grafts with valves between megalymphatics and the great saphenous vein: A case report
Auteurs : Jiro Maegawa [Japon] ; Taro Mikami [Japon] ; Yasushi Yamamoto [Japon] ; Kouichi Hirotomi [Japon] ; Shinji Kobayashi [Japon]Source :
- Microsurgery [ 0738-1085 ] ; 2010-10.
Descripteurs français
- KwdFr :
- MESH :
- imagerie diagnostique : Maladies lymphatiques, Vaisseaux lymphatiques.
- Adulte, Chyle, Humains, Maladies lymphatiques, Mâle, Scintigraphie, Vaisseaux lymphatiques, Veine saphène, Veines.
English descriptors
- KwdEn :
- MESH :
- diagnostic imaging : Lymphatic Diseases, Lymphatic Vessels.
- surgery : Lymphatic Diseases, Lymphatic Vessels, Saphenous Vein.
- transplantation : Veins.
- Adult, Chyle, Humans, Male, Radionuclide Imaging.
Abstract
Chylous reflux is a rare disorder in which chyle flows antidromically from its normal route to the extremities, thorax, abdominal cavity, or other parts of the body. We present a case of chylous reflux with megalymphatics in a 28‐year‐old boy who presented chylorrhea in the foot, leg, and external genitalia, lymphedema, and hemangioma in the affected limb. Lymphaticovenous shunts using subcutaneous vein grafts with valves were applied to the patient for treatment of repeated chylorrhea. After surgery, the patient has not complained of chylorrhea and been freed from conservative physiotherapy such as bandaging or application of compression stockings for lymphedema for two years. A subcutaneous vein graft with valves may be considered a useful method as a shunt between incompetent and dilated lymphatics and veins instead of a saphenous vein graft in the treatment of chylous reflux in lower extremities. We discuss these treatments based on the literature about chylous disorders. © 2010 Wiley‐Liss, Inc. Microsurgery 30:553–556, 2010.
Url:
DOI: 10.1002/micr.20795
Affiliations:
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236‐0004</wicri:regionArea><wicri:noRegion>Yokohama 236‐0004</wicri:noRegion></affiliation></author><author><name sortKey="Yamamoto, Yasushi" sort="Yamamoto, Yasushi" uniqKey="Yamamoto Y" first="Yasushi" last="Yamamoto">Yasushi Yamamoto</name><affiliation wicri:level="1"><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Yokohama City University Hospital, 3‐9 Fukuura, Kanazawa‐ku, Yokohama 236‐0004</wicri:regionArea><wicri:noRegion>Yokohama 236‐0004</wicri:noRegion></affiliation></author><author><name sortKey="Hirotomi, Kouichi" sort="Hirotomi, Kouichi" uniqKey="Hirotomi K" first="Kouichi" last="Hirotomi">Kouichi Hirotomi</name><affiliation wicri:level="1"><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Yokohama City University Hospital, 3‐9 Fukuura, Kanazawa‐ku, Yokohama 236‐0004</wicri:regionArea><wicri:noRegion>Yokohama 236‐0004</wicri:noRegion></affiliation></author><author><name sortKey="Kobayashi, Shinji" sort="Kobayashi, Shinji" uniqKey="Kobayashi S" first="Shinji" last="Kobayashi">Shinji Kobayashi</name><affiliation wicri:level="1"><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Yokohama City University Hospital, 3‐9 Fukuura, Kanazawa‐ku, Yokohama 236‐0004</wicri:regionArea><wicri:noRegion>Yokohama 236‐0004</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Microsurgery</title><title level="j" type="alt">MICROSURGERY</title><idno type="ISSN">0738-1085</idno><idno type="eISSN">1098-2752</idno><imprint><biblScope unit="vol">30</biblScope><biblScope unit="issue">7</biblScope><biblScope unit="page" from="553">553</biblScope><biblScope unit="page" to="556">556</biblScope><biblScope unit="page-count">4</biblScope><publisher>Wiley Subscription Services, Inc., A Wiley 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lymphatiques</term><term>Veine saphène</term><term>Veines</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Chylous reflux is a rare disorder in which chyle flows antidromically from its normal route to the extremities, thorax, abdominal cavity, or other parts of the body. We present a case of chylous reflux with megalymphatics in a 28‐year‐old boy who presented chylorrhea in the foot, leg, and external genitalia, lymphedema, and hemangioma in the affected limb. Lymphaticovenous shunts using subcutaneous vein grafts with valves were applied to the patient for treatment of repeated chylorrhea. After surgery, the patient has not complained of chylorrhea and been freed from conservative physiotherapy such as bandaging or application of compression stockings for lymphedema for two years. A subcutaneous vein graft with valves may be considered a useful method as a shunt between incompetent and dilated lymphatics and veins instead of a saphenous vein graft in the treatment of chylous reflux in lower extremities. We discuss these treatments based on the literature about chylous disorders. © 2010 Wiley‐Liss, Inc. Microsurgery 30:553–556, 2010.</div></front></TEI><affiliations><list><country><li>Japon</li></country></list><tree><country name="Japon"><noRegion><name sortKey="Maegawa, Jiro" sort="Maegawa, Jiro" uniqKey="Maegawa J" first="Jiro" last="Maegawa">Jiro Maegawa</name></noRegion><name sortKey="Hirotomi, Kouichi" sort="Hirotomi, Kouichi" uniqKey="Hirotomi K" first="Kouichi" last="Hirotomi">Kouichi Hirotomi</name><name sortKey="Kobayashi, Shinji" sort="Kobayashi, Shinji" uniqKey="Kobayashi S" first="Shinji" last="Kobayashi">Shinji Kobayashi</name><name sortKey="Maegawa, Jiro" sort="Maegawa, Jiro" uniqKey="Maegawa J" first="Jiro" last="Maegawa">Jiro Maegawa</name><name sortKey="Mikami, Taro" sort="Mikami, Taro" uniqKey="Mikami T" first="Taro" last="Mikami">Taro Mikami</name><name sortKey="Yamamoto, Yasushi" sort="Yamamoto, Yasushi" uniqKey="Yamamoto Y" first="Yasushi" last="Yamamoto">Yasushi Yamamoto</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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