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Single-Session Intranodal Glue Embolization for Postsurgical Refractory Groin Lymphorrhea: A Case Report

Overview
Journal Interv Radiol (Higashimatsuyama)
Date 2022 Aug 1
PMID 35911876
Authors
Sho Sosogi
Daisuke Abo
Ryo Morita
Takeshi Soyama
Bunya Takahashi
Yuki Yoshino
Koji Yamasaki
Noriyuki Miyamoto
Kohsuke Kudo
Affiliations
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Abstract

A 90-year-old female presented with poor right groin wound healing due to lymphorrhea and infection following a surgical cutdown procedure for arterial revascularization. Although negative pressure wound therapy (NPWT) and inguinal lymphadenectomy were performed, infection and lymphorrhea did not heal. Lymphangiography via a right inguinal lymph node revealed lymphatic leakage in the wound. Intranodal glue embolization (IGE) was performed by injecting 0.6 mL of 33% n-butyl-2 cyanoacrylate (NBCA)-lipiodol mixture. Additionally, the presence of glue in an open wound was directly confirmed in this case. After embolization, lymphorrhea ceased, and the wound healed completely. No lymphorrhea recurrence or complications were observed for 6 months. This case suggests that IGE could be an effective treatment for groin lymphorrhea.

Citing Articles

Intranodal glue embolization for lymphorrhea following inguinal lymphadenectomy in penile cancer: A case report.

Okumura T, Onozawa S, Amemiya T, Matsumoto Y, Urishibara M, Ishizaka K Urol Case Rep. 2023; 51:102630.

PMID: 38089561 PMC: 10711192. DOI: 10.1016/j.eucr.2023.102630.

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