[Distal external lymph fistula of the tibia as a complication of vena saphena magna harvesting].
In a 71-year-old woman with coronary disease the great saphenous vein was excised for use as an autologous graft vein. Two weeks later a crural ulcer developed at the distal excision site. Conservative treatment by ointment and compression was not successful and plastic surgery was considered. A clear, protein-rich liquid was discharged from the wound. The interdigital injection of methylene blue resulted in appearance of the dye in the ulcer after 45 seconds. Surgery revealed a severed lymph collector. After ligation of the lymph vessel the ulcer within a week.
Piza-Katzer
H
H
Abteilung für Plastische und Wiederherstullungschirurgie, I. Chirurgischen Universitätsklinik.
Pilz
E
E
D000368:Aged; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000601:surgery*; D005260:Female; D005402:Fistula / Q000601:surgery*; D006801:Humans; D008206:Lymphatic Diseases / Q000601:surgery*; D008208:Lymphatic System / Q000293:injuries / Q000601:surgery; D012501:Saphenous Vein / Q000601:surgery / Q000637:transplantation*
Distale äussere Lymphfistel am Unterschenkel als Komplikation nach Entnahme der Vena saphena magna.