Non-infected, non-haematic fluid collections after endovenous laser ablation of the saphenous veins: a noteworthy complication.
OBJECTIVE
To describe an uncommon complication after endovenous laser ablation (EVLA) of the saphenous veins and its percutaneous management.


METHODS
Symptomatic greater saphenous vein reflux was successfully treated by EVLA using standard technique. Local pain, redness and swelling around the prior percutaneous access site were investigated at the clinical and duplex ultrasonographic follow-up visit one week later.


RESULTS
Duplex ultrasonography demonstrated a subcutaneous fluid collection with surrounding hyperechogenicity. Needle aspiration of the collection under real-time ultrasound guidance allowed complete evacuation of the clear yellowish fluid. Immediate symptom relief was observed. Direct examination and anaerobic and aerobic culture of the fluid were negative. No further complication was observed during the following 11 months of follow-up.


CONCLUSIONS
Seroma after EVLA is a rare but possible complication, while haematomas and infections seem much scarcer. Diagnosis is easily made by duplex ultrasonography. Treatment by fine needle aspiration can successfully relieve symptoms without delayed recurrence.
Janne D'Othée
B
B
Department of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue-W/ CC 385, Boston, MA 02215-5400, USA. bjannedothee@partners.org
Ghiorse
D
D
D000328:Adult; D005260:Female; D006801:Humans; D053685:Laser Therapy / Q000009:adverse effects*; D012501:Saphenous Vein / Q000000981:diagnostic imaging / Q000601:surgery*; D049291:Seroma / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D013396:Suction; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional; D014689:Venous Insufficiency / Q000000981:diagnostic imaging / Q000601:surgery*