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Successful treatment of large abdominal lymphatic malformations and chylous ascites with intra-abdominal lymphovenous anastomosis.
Metadata
Journaljournal of vascular surgery-venous and lymphatic disorders3.137Date
2020 Jun 04
4 months ago
Type
Case Report
Volume
2020-Jun-04 / :
Author
Ishiura R 1, Mitsui K 2, Danno K 2, Banda CH 2, Inoue M 3, Narushima M 2
Affiliation
  • 2. Department of Plastic and Reconstructive Surgery, Mie University Hospital, Tsu, Mie, Japan.
  • 3. Department of Gastrointestinal and Pediatric Surgery, Mie University Hospital, Tsu, Mie, Japan.
Doi
PMIDMESH
Abstract
Large abdominal lymphatic malformations (LMs) are rare and may occasionally cause life-threatening illness, especially when they involve the central lymphatic system, lumbar trunks, cisterna chyli, thoracic duct, and their major tributaries, forming complex lymphatic anomalies. These LMs are often accompanied by chylous leak in various locations, and treatment remains challenging. We report a case of large abdominal LM with chylous ascites, protein-losing enteropathy, vaginal chylous leak, and lower limb lymphedema successfully treated with microsurgical intra-abdominal lymphovenous anastomosis and discuss the technical details of the procedure.
Keywords: Central conducting lymphatic anomaly Chylous ascites Chylous leak Lymphatic malformation Lymphovenous anastomosis
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J Vasc Surg Venous Lymphat Disordjournal of vascular surgery-venous and lymphatic disorders
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LocationUnited States
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