Takagi Katsunori*, Yamashita Shuji, Moriwaki Yuta, Morishita Yuya and Danno Kanako
Department of Plastic and Reconstructive Surgery, University of Tokyo Hospital, JapanFulltext PDF
We present a case of a 40-year-old female with cystic lymphangioma in the left upper arm. The patient presented at our outpatient clinic with pain in the left upper arm. Ultrasonographic examination revealed a cystic mass in the left upper arm. Under ultrasonic guidance, the cyst was punctured using an 18G needle attached to a syringe; 30 ml of yellowish cloudy liquid was obtained. The patient was then administered antibiotic therapy (500 mg/day of oral LVFX for 5 days). There was no history of recent trauma or diabetes mellitus, thus the cause of lymphangitis remained unknown. Complete recovery from lymphangitis took 1 week. After recovery from lymphangitis, we performed magnetic resonance imaging (MRI) investigation of the left upper arm. MRI revealed a clustered cystic mass that was diagnosed as cystic lymphangioma. We performed triple lymphaticovenular anastomosis around the cubital fossa, and performed low pressure compression therapy for 6 months postoperatively. One week after discontinuation of compression therapy, MRI revealed that the lymphangioma had not re-expanded. Lymphangiomais commonly treated with surgical resection alone. This case revealed that lymphaticovenular anastomosis can be an effective treatment for cystic lymphangioma. Lymphaticovenular anastomosis may be preferable to surgical resection due to its relatively shorter incision length and therefore superior esthetic outcome.
Katsunori T, Shuji Y, Yuta M, Yuya M, Kanako D. A Case of Lymphangioma Successfully Treated with Lymphaticovenular Anastomosis. Clin Surg. 2016; 1: 1181.