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Knee lymphocutaneous fistula secondary to knee arthroplasty.

Pérez-de la Fuente T, Sandoval E, Alonso-Burgos A, García-Pardo L, Cárcamo C, Caballero O - Case Rep Orthop (2014)

Bottom Line: Lower limb lymphorrhea secondary to a surgical procedure is a rare but difficult-to-solve complication.In lower limb, this entity is frequently associated with vascular procedures around the inguinal area.To our knowledge, no previous reports regarding this complication have been published.

View Article: PubMed Central - PubMed

Affiliation: Department of Plastic and Reconstructive Surgery, Fundación Jiménez Díaz, Avenida Reyes Católicos 2, 28040 Madrid, Spain.

ABSTRACT
Lower limb lymphorrhea secondary to a surgical procedure is a rare but difficult-to-solve complication. In lower limb, this entity is frequently associated with vascular procedures around the inguinal area. We report on a case of a knee lymphocutaneous fistula secondary to a knee revision arthroplasty. To our knowledge, no previous reports regarding this complication have been published.

No MeSH data available.


Related in: MedlinePlus

Two afferents superficial lymphatic vessels to the knee in MRL.
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fig2: Two afferents superficial lymphatic vessels to the knee in MRL.

Mentions: The first therapy was a compression bandage and leg rest, which resulted in no success. Therefore, a VAC therapy with continuous 75 mm Hg pressure was used for seven weeks. No wound closure was observed after that time and a persistent lymphocutaneous fistula was developed. Hence, a magnetic resonance lymphangiography (MRL) was performed. On the MRL images, the deep system remained unharmed, but two major lymphatic vessels of the superficial system were found to be directly afferent to the wound dehiscence (Figure 2).


Knee lymphocutaneous fistula secondary to knee arthroplasty.

Pérez-de la Fuente T, Sandoval E, Alonso-Burgos A, García-Pardo L, Cárcamo C, Caballero O - Case Rep Orthop (2014)

Two afferents superficial lymphatic vessels to the knee in MRL.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4279846&req=5

fig2: Two afferents superficial lymphatic vessels to the knee in MRL.
Mentions: The first therapy was a compression bandage and leg rest, which resulted in no success. Therefore, a VAC therapy with continuous 75 mm Hg pressure was used for seven weeks. No wound closure was observed after that time and a persistent lymphocutaneous fistula was developed. Hence, a magnetic resonance lymphangiography (MRL) was performed. On the MRL images, the deep system remained unharmed, but two major lymphatic vessels of the superficial system were found to be directly afferent to the wound dehiscence (Figure 2).

Bottom Line: Lower limb lymphorrhea secondary to a surgical procedure is a rare but difficult-to-solve complication.In lower limb, this entity is frequently associated with vascular procedures around the inguinal area.To our knowledge, no previous reports regarding this complication have been published.

View Article: PubMed Central - PubMed

Affiliation: Department of Plastic and Reconstructive Surgery, Fundación Jiménez Díaz, Avenida Reyes Católicos 2, 28040 Madrid, Spain.

ABSTRACT
Lower limb lymphorrhea secondary to a surgical procedure is a rare but difficult-to-solve complication. In lower limb, this entity is frequently associated with vascular procedures around the inguinal area. We report on a case of a knee lymphocutaneous fistula secondary to a knee revision arthroplasty. To our knowledge, no previous reports regarding this complication have been published.

No MeSH data available.


Related in: MedlinePlus