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Title: Arteriolymphatic Fistula: An Unusual Cause of Spontaneous Swelling in the Left Supraclavicular Region

Abstract

An abnormal fistulous communication between an artery and lymphatic system is a rare occurrence. We report a 38-year-old male presenting with sudden onset, spontaneous, pulsatile swelling in the left supraclavicular region following a recent cardiac catheterisation via right femoral arterial access. On evaluation, he was found to have a femoral arteriolymphatic fistula. He was managed conservatively with ultrasound-guided compression with complete resolution of symptoms at follow-up. This case describes a hitherto unknown complication of percutaneous vascular cannulation presenting in an unusual manner, diagnosed with Doppler Ultrasonography and CT angiography and managed effectively with a non-invasive therapeutic image-guided manoeuvre.

Authors:
; ;  [1]; ;  [2]
  1. Christian Medical College Hospital, Department of Radiology (India)
  2. Christian Medical College Hospital, Department of Medicine (India)
Publication Date:
OSTI Identifier:
22645464
Resource Type:
Journal Article
Resource Relation:
Journal Name: Cardiovascular and Interventional Radiology; Journal Volume: 39; Journal Issue: 9; Other Information: Copyright (c) 2016 Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); http://www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ARTERIES; BIOMEDICAL RADIOGRAPHY; COMMUNICATIONS; COMPRESSION; COMPUTERIZED TOMOGRAPHY; DIAGNOSIS; EVALUATION; IMAGES; LYMPHATIC SYSTEM; SWELLING; SYMPTOMS; ULTRASONOGRAPHY

Citation Formats

Karuppiah Viswanathan, Ashok Mithra, E-mail: ashokmithrakv@gmail.com, Irodi, Aparna, Keshava, Shyamkumar N., E-mail: aparna-shyam@yahoo.com, Aneez, Joseph, and Karthik, Gunasekaran. Arteriolymphatic Fistula: An Unusual Cause of Spontaneous Swelling in the Left Supraclavicular Region. United States: N. p., 2016. Web. doi:10.1007/S00270-016-1348-8.
Karuppiah Viswanathan, Ashok Mithra, E-mail: ashokmithrakv@gmail.com, Irodi, Aparna, Keshava, Shyamkumar N., E-mail: aparna-shyam@yahoo.com, Aneez, Joseph, & Karthik, Gunasekaran. Arteriolymphatic Fistula: An Unusual Cause of Spontaneous Swelling in the Left Supraclavicular Region. United States. doi:10.1007/S00270-016-1348-8.
Karuppiah Viswanathan, Ashok Mithra, E-mail: ashokmithrakv@gmail.com, Irodi, Aparna, Keshava, Shyamkumar N., E-mail: aparna-shyam@yahoo.com, Aneez, Joseph, and Karthik, Gunasekaran. Thu . "Arteriolymphatic Fistula: An Unusual Cause of Spontaneous Swelling in the Left Supraclavicular Region". United States. doi:10.1007/S00270-016-1348-8.
@article{osti_22645464,
title = {Arteriolymphatic Fistula: An Unusual Cause of Spontaneous Swelling in the Left Supraclavicular Region},
author = {Karuppiah Viswanathan, Ashok Mithra, E-mail: ashokmithrakv@gmail.com and Irodi, Aparna and Keshava, Shyamkumar N., E-mail: aparna-shyam@yahoo.com and Aneez, Joseph and Karthik, Gunasekaran},
abstractNote = {An abnormal fistulous communication between an artery and lymphatic system is a rare occurrence. We report a 38-year-old male presenting with sudden onset, spontaneous, pulsatile swelling in the left supraclavicular region following a recent cardiac catheterisation via right femoral arterial access. On evaluation, he was found to have a femoral arteriolymphatic fistula. He was managed conservatively with ultrasound-guided compression with complete resolution of symptoms at follow-up. This case describes a hitherto unknown complication of percutaneous vascular cannulation presenting in an unusual manner, diagnosed with Doppler Ultrasonography and CT angiography and managed effectively with a non-invasive therapeutic image-guided manoeuvre.},
doi = {10.1007/S00270-016-1348-8},
journal = {Cardiovascular and Interventional Radiology},
number = 9,
volume = 39,
place = {United States},
year = {Thu Sep 15 00:00:00 EDT 2016},
month = {Thu Sep 15 00:00:00 EDT 2016}
}