Hosting 728 files, 2951 images, and 4 contributors.

Random Case

Joseph Junewick, MD FACR
over 10 years ago
Enter A Workflow
Standard2   Academic2

Please choose a workflow. A standard workflow allows you to browse the repository with full case detail; the academic workflow allows you to browse the repository with limited case detail revealed. Double click on the images to launch image viewer.

ARSt Case Repository

Lymphocutaneous Fistula

Case Detail

Anatomy: Vascular-Lymphatic
Joseph Junewick, MD FACR
Diagnostic Category: Vascular
Created: over 10 years ago
Updated: over 10 years ago
Tags: PEDS
Modality/Study Types: US
Adobe32 PDF Imagej32 ImageJA


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

Case Images


Lymphocutaneous Fistula


US – Lymph node with enlarged hilar lymphatic vessels.


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.


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


Linda Woolpert, RRT RDMS

Corporate Office: 616.363.7272, 3264 North Evergreen Drive, Grand Rapids, MI 49525

Spectrum Health Helen Devos Childrens Hospital GE HealthCare