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Published: 2023-10-30
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DOI: https://doi.org/10.52852/tcncyh.v170i9.1878
Issue
Vol. 170 No. 9 (2023)
Section
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Sơn, T. Q., Khảng, L. V., & Học, T. H. (2023). 38. Combination of lymphatic embolization and vessel sclerotherapy for managing bilateral lipoma groin lymphorrhea: Case report and literature review. Journal of Medical Research, 170(9), 347-353. https://doi.org/10.52852/tcncyh.v170i9.1878

38. Combination of lymphatic embolization and vessel sclerotherapy for managing bilateral lipoma groin lymphorrhea: Case report and literature review

Tran Que Son, Le Van Khang, Tran Hieu Hoc

Main Article Content

Abstract

Inguinal lymphatic complications frequently occur after radical inguinal lymph node dissection to treat malignant diseases of the genital or anal region. There is no consensus on the treatment method for lymphorrhea. We reported a case of a 66-year-old male patient underwent surgery to remove a bilateral inguinal lipoma tumor. The ultrasound image showed that the tumor size in the right and left inguinal regions was 30x35 and 33x40mm, respectively. The lymphatic leakage volume measured over 500 mL/day through negative pressure drainage on both sides, requiring the dressing to be changed approximately five to seven times daily. A multidisciplinary team of surgeons and interventional radiologists was consulted, and we decided to perform an intranodal lymphangiography to identify the leakage point. The largest lymph node in the groin area, located under the wound, was punctured under ultrasound guidance, and contrast material (Hystoacryl - Lipiodol glue at a ratio of 1:6) was injected into the lymph node. After a week, the sclerosant was injected to destroy the lymphatic vessels and prevent leakage. Hospital stay was 41 days without lymphatic fistula. Conclusion: lymphatic embolization and vessel sclerotherapy therapy is effective for patients with lymph fistula after surgery for inguinal tumors.

Article Details

Keywords

Lymphorrhea, Lymphatic Embolization, Sclerotherapy, Inguinal lipoma tumor

References

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