title: Embolization of the neck lymphatic varix, causing periodic neck swelling.
abstract: We report a case of a 44-year-old female patient, presented to us after years of recurrent intermittent episodes of unilateral left neck swelling. An MR lymphangiogram demonstrated a lymphatic varix at the confluence of the left upper extremity lymphatic ducts, confirmed by intranodal axillary lymphangiography. After successful catheterization of the feeding lymphatic vessels, the varix was successfully embolized with detachable microcoils and an autologous blood patch. The patient has been free from symptoms on subsequent outpatient follow-up.
authors.affiliation: Perelman School of Medicine, 600 Market Street, Philadelphia, PA, 19104, USA, anthony.k.guzman@gmail.com.
authors.forename: Anthony K
authors.initials: AK
authors.lastname: Guzman
authors.forename: Brian A
authors.initials: BA
authors.lastname: Pukenas
authors.forename: Yan
authors.initials: Y
authors.lastname: Yan
authors.forename: Jason G
authors.initials: JG
authors.lastname: Newman
authors.forename: Maxim
authors.initials: M
authors.lastname: Itkin
mesh_terms: D000328:Adult; D003287:Contrast Media; D004621:Embolization, Therapeutic / Q000379:methods*; D004998:Ethiodized Oil; D005260:Female; D006801:Humans; D042601:Lymphatic Vessels / Q000098:blood supply*; D008220:Lymphography; D008279:Magnetic Resonance Imaging; D009333:Neck / Q000098:blood supply*; D012008:Recurrence; D014057:Tomography, X-Ray Computed; D018084:Ultrasonography, Interventional; D014648:Varicose Veins / Q000000981:diagnostic imaging / Q000628:therapy*
chemical_list: D003287:Contrast Media; D004998:Ethiodized Oil