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Lymphocutaneous Fistula

Case Detail

Anatomy: Vascular-Lymphatic
Junewick
Joseph Junewick, MD FACR
Diagnostic Category: Vascular
Created: over 7 years ago
Updated: over 7 years ago
Tags: PEDS
Modality/Study Types: US
Activities:
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History

Teenager with persistent clear fluid drainage adjacent to recent femoral venous catheter.


Case Images


Diagnosis

Lymphocutaneous Fistula

Findings

US – Lymph node with enlarged hilar lymphatic vessels.

Discussion

Chylous fistulas are most often seen as complications of cervical or thoracic surgery, trauma, central venous catheter placement, femoral artery reconstruction, renal transplantation, and malignancy. Improvement usually occurs with conservative treatment such as diet with medium-chain triglycerides or low fat content, elevation, pressure dressing, and improving venous drainage.

Reference

Kusminsky RE. Complications of central venous catheterization. J Am Coll Surg (2007); 204:681-696.

Contributor

Linda Woolpert, RRT RDMS



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