Lymphoedema of the upper limb: a rare complication of thyroid surgery?
Identifieur interne : 000870 ( PubMed/Corpus ); précédent : 000869; suivant : 000871Lymphoedema of the upper limb: a rare complication of thyroid surgery?
Auteurs : Christopher Stephen ; David Alexander MunnochSource :
- BMJ case reports [ 1757-790X ] ; 2016.
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
Links to Exploration step
pubmed:27090542Le document en format XML
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<author><name sortKey="Stephen, Christopher" sort="Stephen, Christopher" uniqKey="Stephen C" first="Christopher" last="Stephen">Christopher Stephen</name>
<affiliation><nlm:affiliation>Department of Plastic Surgery, Ninewells Hospital, Dundee, UK.</nlm:affiliation>
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<author><name sortKey="Munnoch, David Alexander" sort="Munnoch, David Alexander" uniqKey="Munnoch D" first="David Alexander" last="Munnoch">David Alexander Munnoch</name>
<affiliation><nlm:affiliation>Department of Plastic Surgery, Ninewells Hospital, Dundee, UK.</nlm:affiliation>
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<affiliation><nlm:affiliation>Department of Plastic Surgery, Ninewells Hospital, Dundee, UK.</nlm:affiliation>
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<author><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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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Female</term>
<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="MESH" qualifier="adverse effects" xml:lang="en"><term>Thyroidectomy</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Upper Extremity</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Goiter</term>
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Female</term>
<term>Humans</term>
<term>Lipectomy</term>
<term>Postoperative Complications</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>
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<ArticleTitle>Lymphoedema of the upper limb: a rare complication of thyroid surgery?</ArticleTitle>
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<Abstract><AbstractText>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.</AbstractText>
<CopyrightInformation>2016 BMJ Publishing Group Ltd.</CopyrightInformation>
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<ForeName>Christopher</ForeName>
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