Resection of an axillary macrocystic lymphatic malformation in a 14-year-old girl using intraoperative indocyanine green lymphography

Assi Drobot, Samer Ganam, Nour Karra, Amitai Bickel, Ibrahim Abu Shakra, Eli Kakiashvili

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Lymphangioma is a malformation of the lymphatic system for which surgical excision is a possible treatment. However, complete excision may be hindered by the lesion's size, anatomic location, unclear borders, and invasion into adjacent tissues. We describe a 14-year-old girl who presented with a rapidly progressing axillary swelling. Magnetic resonance imaging and ultrasound revealed a lymphatic macrocystic multilocular lesion. After preoperative and intraoperative indocyanine green lymphography, a complete surgical excision was achieved without damage to collateral lymphatic channels or surrounding tissues. Intraoperative indocyanine green lymphography may be useful in achieving efficient and safe resection of lymphangioma without damaging unconnected lymphatics.

Original languageEnglish
Pages (from-to)504-507
Number of pages4
JournalJournal of Vascular Surgery: Venous and Lymphatic Disorders
Volume9
Issue number2
DOIs
StatePublished - Mar 2021

Bibliographical note

Publisher Copyright:
© 2020 Society for Vascular Surgery

Keywords

  • Indocyanine green
  • Lymphatic malformation
  • Lymphography
  • Surgical excision

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