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Updates in Surgery
Published in: Updates in Surgery 1/2014

01-03-2014 | Case Report

Clinical appearance and management of massive localized lymphedema in morbidly obese patients: report of 2 cases

Authors: M. Tenhagen, L. Lodewijk, H. A. Cense, O. R. C. Busch

Published in: Updates in Surgery | Issue 1/2014

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Excerpt

Massive localized lymphedema (MLL) was first reported in 1998 and has been described after surgery and blunt trauma and in morbidly obese patients [1‐4]. The etiology of MLL remains unclear but it is almost solely described in obese patients. Local obstruction of lymph vessels in the skin due to excessive fat tissue may cause progressive growth of the cutaneous lesion. Traction together with lymphoedema can induce local skin ischemia which might be the cause of the frequently seen ulcers [5]. Differential diagnosis includes giant inguinal-, umbilical- or scrotal herniation, massive lipoma, excessive adipose tissue and (malignant) neoplasm such as a well-differentiated liposarcoma (WDL). …
Literature
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Metadata
Title
Clinical appearance and management of massive localized lymphedema in morbidly obese patients: report of 2 cases
Authors
M. Tenhagen
L. Lodewijk
H. A. Cense
O. R. C. Busch
Publication date
01-03-2014
Publisher
Springer Milan
Published in
Updates in Surgery / Issue 1/2014
Print ISSN: 2038-131X
Electronic ISSN: 2038-3312
DOI
https://doi.org/10.1007/s13304-012-0182-z

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