[Rhythmic lymph extravasation from a lymph fistula].
A 66-year-old woman with a chronic traumatic lymph fistula is described. Using the almost atraumatic fluorescence micro-lymphography the fistula could be precisely localized within the ulcer. Lymph flow from deep channels was rhythmic. This previously unknown phenomenon of rhythmic retrograde flow in a lymphatic fistula is probably due to the activity of contractile segments of lymph collectors and an important factor for the non-healing of ulcers.
Fischer
M
M
Department für Innere Medizin, Abteilung Angiologie, Universitätsspital Zürich.
Franzeck
U K
UK
Bollinger
A
A
D000368:Aged; D003287:Contrast Media; D017577:Cutaneous Fistula / Q000000981:diagnostic imaging*; D003911:Dextrans; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000000981:diagnostic imaging*; D005260:Female; D016650:Fluorescein-5-isothiocyanate / Q000031:analogs & derivatives; D006801:Humans; D007871:Leg Ulcer / Q000000981:diagnostic imaging*; D008208:Lymphatic System / Q000293:injuries*; D008220:Lymphography; D011673:Pulsatile Flow / Q000502:physiology*; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging*
D003287:Contrast Media; D003911:Dextrans; C015219:fluorescein isothiocyanate dextran; D016650:Fluorescein-5-isothiocyanate