BILATERAL GROIN ADENOLYMPHOCELES: AN UNUSUAL PRESENTATION OF CHYLOUS REFLUX

AE Guzman, A Silva

Abstract


We report an unusual presentation of a young man with bilateral groin lymph nodaladenolymphoceles and right leg lymphedema as a manifestation of intestinal lymphangiectasia.Chylous reflux was supported by conventional and isotopic lymphography as well as by a totallipid 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 chaintriglycerides), manual massage, pneumatic compression, and long-term wearing of a low stretchelastic garments he remains well.

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