Effectiveness of lymphatic cannulation in case of non-applicable intranodal lymphangiography

A 78-year-old man presented with lymphatic fluid collections in bilateral inguinal area after bilateral inguinal lymph node dissections. Because no inguinal or popliteal lymph nodes were observed under ultrasound examination, intranodal lymphangiography was not applicable. Although traditional pedal...

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Bibliographic Details
Published in:Journal of vascular surgery cases and innovative techniques 2021-03, Vol.7 (1), p.97-99
Main Authors: Saiga, Atsushi, Yamamoto, Masayoshi, Akita, Shinsuke, Koizumi, Jun, Kondo, Hiroshi, Uno, Takashi
Format: Article
Language:English
Subjects:
Case report
Inguinal lymph node dissection
Lymphatic cannulation
Pedal lymphangiography
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Summary:A 78-year-old man presented with lymphatic fluid collections in bilateral inguinal area after bilateral inguinal lymph node dissections. Because no inguinal or popliteal lymph nodes were observed under ultrasound examination, intranodal lymphangiography was not applicable. Although traditional pedal lymphangiography was required, it was difficult to perform this procedure owing to the decreasing frequency over the past 20 years and being unavailable in not only our institution, but also other in institutions. Therefore, we performed catheterization using the 29-guage Argyle PI catheter into the lymphatic duct in lower legs under a microscope and achieved successful percutaneous embolization using N-butyl cyanoacrylate for inguinal lymphatic leakage.
ISSN:2468-4287
2468-4287
DOI:10.1016/j.jvscit.2020.10.004