Bilateral groin adenolymphoceles: an unusual presentation of chylous reflux.
We report an unusual presentation of a young man with bilateral groin lymph nodal adenolymphoceles and right leg lymphedema as a manifestation of intestinal lymphangiectasia. Chylous reflux was supported by conventional and isotopic lymphography as well as by a total lipid test showing delayed triglyceride absorption 24 hours after ingestion of 60 gm of butter. After excision of groin masses in conjunction with dietary control (short-medium chain triglycerides), manual massage, pneumatic compression, and long-term wearing of a low stretch elastic garments he remains well.
Guzmán
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AE
Silva
A
A
D000328:Adult; D003131:Combined Modality Therapy; D006119:Groin; D006801:Humans; D008201:Lymphangiectasis, Intestinal / Q000150:complications*; D008209:Lymphedema / Q000000981:diagnostic imaging / Q000209:etiology; D008210:Lymphocele / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D008220:Lymphography; D008297:Male