PMC3922229_01
Left medial calf lymphocele at site of harvested saphenous vein.
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PMC3922229_01_eplasty13e57_fig1.jpg
F1
His examination was remarkable for a 12-cm, mobile, nonpulsatile soft tissue mass at his medial left calf without tenderness or erythema (Fig 1).
Subcutaneous soft tissue mass measuring 12.0 x 10.3 x 4.7 cm3 in the vicinity of prior greater saphenous vein, without abnormal enhancement.
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F2
Lower extremity ultrasonography demonstrated focal subcutaneous edema, and magnetic resonance imaging showed a 12.0 x 10.3 x 4.7 cm3 subcutaneous soft tissue mass with surrounding fibrous tissue in the vicinity of his prior greater saphenous vein (Fig 2).
Intradermal injection of isosulfan blue dye circumferentially at the ankle.
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PMC3922229_01_eplasty13e57_fig3.jpg
F3
The operative technique was comprised of preoperative intradermal injection of 4 mL of 1% isosulfan blue circumferentially around the ankle (Fig 3).
A blue-staining lymphatic vessel (arrow) is identified within the exposed lymphocele cavity.
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PMC3922229_01_eplasty13e57_fig4.jpg
F4
Several blue feeding lymphatic channels were identified and isolated (Fig 4).