Single-Session Intranodal Glue Embolization for Postsurgical Refractory Groin Lymphorrhea: A Case Report.

Interventional radiology (Higashimatsuyama-shi (Japan) Pub Date : 2022-02-04 eCollection Date: 2022-03-01 DOI:10.22575/interventionalradiology.2021-0021

Sho Sosogi, Daisuke Abo, Ryo Morita, Takeshi Soyama, Bunya Takahashi, Yuki Yoshino, Koji Yamasaki, Noriyuki Miyamoto, Kohsuke Kudo

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引用次数: 1

Abstract

A 90-year-old female presented with poor right groin wound healing due to lymphorrhea and infection following a surgical cutdown procedure for arterial revascularization. Although negative pressure wound therapy (NPWT) and inguinal lymphadenectomy were performed, infection and lymphorrhea did not heal. Lymphangiography via a right inguinal lymph node revealed lymphatic leakage in the wound. Intranodal glue embolization (IGE) was performed by injecting 0.6 mL of 33% n-butyl-2 cyanoacrylate (NBCA)-lipiodol mixture. Additionally, the presence of glue in an open wound was directly confirmed in this case. After embolization, lymphorrhea ceased, and the wound healed completely. No lymphorrhea recurrence or complications were observed for 6 months. This case suggests that IGE could be an effective treatment for groin lymphorrhea.

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结内胶栓塞治疗术后难治性腹股沟淋巴漏1例。

一位90岁的女性在接受动脉血运重建手术后，因淋巴漏和感染导致右腹股沟伤口愈合不良。虽然进行了负压伤口治疗(NPWT)和腹股沟淋巴结切除术，但感染和淋巴漏仍未愈合。经右腹股沟淋巴结的淋巴管造影显示伤口有淋巴渗漏。通过注射0.6 mL 33%正丁基-2氰基丙烯酸酯(NBCA)-脂醇混合物进行结内胶栓塞(IGE)。此外，在这个病例中，直接证实了开放性伤口中存在胶水。栓塞后，淋巴停止，伤口完全愈合。6个月无淋巴瘤复发及并发症。本病例提示IGE可能是治疗腹股沟淋巴漏的有效方法。

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Interventional radiology (Higashimatsuyama-shi (Japan)

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