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Lymphocele Following Liposuction in the Thigh

  • Case Report
  • Body Contouring
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Abstract

Lymphocele has not been reported as a complication after liposuction. In this study, we present the case of a patient who developed a cystic lesion after liposuction in her right thigh. The cyst could contract and evolve. The diagnosis of pseudobursa seroma (late seroma) was first considered. However, lymphoscintigraphy showed that lymphatic fluid accumulated in the cyst, and lymphatic vessel connected with it. The final diagnose was a lymphocele. After interventional therapy and conservative treatment failed, the lymphocele was resected. The subcutaneous soft tissue around the cyst was divided into bundles and then ligated with the purpose of blocking lymph leakage from the lymphatic duct.

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References

  1. Iverson RE, Pao VS (2008) MOC- PS (SM) CME article: liposuction. Plast Reconstr Surg 121:1–11

    Article  PubMed  Google Scholar 

  2. Ersek RA, Schade K (1990) Subcutaneous pseudobursa secondary to suction and surgery. Plast Reconstr Surg 85:442–445

    Article  CAS  PubMed  Google Scholar 

  3. Baroudi R, Ferreira CA (1998) Seroma: how to avoid it and how to treat it. Aesthet Surg J 18:439–441

    Article  CAS  PubMed  Google Scholar 

  4. Roje Z, Karanovic N, Utrobicic I (2006) Abdominoplasty complications: a comprehensive approach for the treatment of chronic seroma with pseudobursa. Aesthet Plast Surg 30:611–615

    Article  Google Scholar 

  5. Toyserkani NM, Nielsen HT, Bakholdt V, Sørensen JA (2016) Ligation of lymph vessels for the treatment of recurrent inguinal lymphoceles following lymphadenectomy. World J Surg Oncol 14:9

    Article  PubMed  PubMed Central  Google Scholar 

  6. Karcaaltincaba M, Akhan O (2005) Radiological imaging and percutaneous treatment of pelvic lymphocele. Eur J Radiol 55:340–354

    Article  PubMed  Google Scholar 

  7. Manci N, Marchetti C, Esposito F et al (2009) Inguinofemoral lymphadenectomy: randomized trial comparing inguinal skin access above or below the inguinal ligament. Ann Surg Oncol 16:721–728

    Article  PubMed  Google Scholar 

  8. Kissin MV, Simpson DA, Easton D, White H, Westbury G (1987) Prognostic factors related to survival and groin recurrence following therapeutic lymph node dissection for lower limb malignant melanoma. Br J Surg 74:1023–1026

    Article  CAS  PubMed  Google Scholar 

  9. Pittaluga P, Chastanet S (2012) Lymphatic complications after varicose veins surgery: risk factors and how to avoid them. Phlebology 27:139–142

    Article  PubMed  Google Scholar 

  10. Velanovich V, Mallory P, Collins PS (1991) Lower extremity lymphocele development after saphenous vein harvesting. Mil Med 156:149–150

    CAS  PubMed  Google Scholar 

  11. Lengelé B, Scalliet P (2009) Anatomical bases for the radiological delineation of lymph node areas. Part III: Pelvis and lower limbs. Radiother Oncol 92:22–33

    Article  PubMed  Google Scholar 

  12. Tourani SS, Taylor GI, Ashton MW (2013) Anatomy of the superficial lymphatics of the abdominal wall and the upper thigh and its implications in lymphatic microsurgery. J Plast Reconstr Aesthet Surg 66:1390–1395

    Article  PubMed  Google Scholar 

  13. Pui MH, Yueh TC (1998) Lymphoscintigraphy in chyluria, chyloperitoneum and chylothorax. J Nucl Med 39:1292–1296

    CAS  PubMed  Google Scholar 

  14. Notohamiprodjo M, Weiss M, Baumeister RG et al (2012) MR lymphangiography at 3.0T: correlation with lymphoscintigraphy. Radiology 264:78–87

    Article  PubMed  Google Scholar 

  15. Lee EW, Shin JH, Ko HK et al (2014) Lymphangiography to treat postoperative lymphatic leakage: a technical review. Korean J Radiol 15:724–732

    Article  PubMed  PubMed Central  Google Scholar 

  16. Hoffmann JN, Fertmann JP, Baumeister RG et al (2004) Tumescent and dry liposuction of lower extremities: differences in lymph vessel injury. Plast Reconstr Surg 113:718–724

    Article  PubMed  Google Scholar 

  17. Frick A, Hoffmann JN, Baumeister RG, Putz R (2009) Liposuction technique and lymphatic lesions in lower legs: anatomic study to reduce risks. Plast Reconstr Surg 103:1868–1873

    Article  Google Scholar 

  18. Zecha PJ, Missotten FE (1999) Pseudocyst formation after abdominoplasty: extravasations of Morel-Lavallée. Br J Plast Surg 52:500–502

    Article  CAS  PubMed  Google Scholar 

  19. Keramidas EG, Rodopoulou S, Khan U (2006) Pseudo-cyst formation after abdominoplasty combined with liposuction: a case report and review of the literature. Eur J Plast Surg 28:400–402

    Article  Google Scholar 

  20. Di Martino M, Nahas FX, Barbosa MV et al (2010) Seroma in lipoabdominoplasty and abdominoplasty: a comparative study using ultrasound. Plast Reconstr Surg 126:1742–1751

    Article  PubMed  Google Scholar 

  21. Andrades P, Prado A (2007) Composition of postabdominoplasty seroma. Aesthet Plast Surg 31:514–518

    Article  Google Scholar 

  22. Moretti E, Gomez Garcia F, Monti J, Vazquez G (2006) Investigation about seromas in liposuction and abdominal dermolipectomy. Cir Plast Iberolatinoam 32:151–160

    Google Scholar 

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Authors and Affiliations

  1. Head and Neck Cosmetic Surgery Center, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 33 Badachu Road, Shijingshan District, Beijing, 100144, China

    Qianwen Wang & Jiaqi Wang

  2. Vascular Surgery Department, Beijing Hospital, 1# Dahua Road, Dongdan, Dongcheng District, Beijing, China

    Peng Li

Authors
  1. Qianwen Wang
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  2. Jiaqi Wang
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  3. Peng Li
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Correspondence to Jiaqi Wang.

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The authors declare that they have no conflicts of interest to disclose.

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Wang, Q., Wang, J. & Li, P. Lymphocele Following Liposuction in the Thigh. Aesth Plast Surg 41, 1408–1412 (2017). https://doi.org/10.1007/s00266-017-0930-z

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  • DOI: https://doi.org/10.1007/s00266-017-0930-z

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