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Unilateral leg edema

Caleb W Grote, Paul C Cowan, David W Anderson, Kimberly J Templeton
Metal-on-metal (MoM) total hip arthroplasty (THA) can be associated with adverse metal reactions, including pseudotumors. This case report describes a 58-year-old female with an MoM THA-related pseudotumor that caused unilateral leg edema from compression of her external iliac vein. After thorough preoperative workup to rule out infection and deep vein thrombosis and consultation with a vascular surgeon, the patient underwent revision THA and excision of her pseudotumor. She had complete resolution of her swelling at 4 years after surgery...
2018: BioResearch Open Access
Yasuaki Tamaki, Tomohiro Goto, Takahiko Tsutsui, Tomoya Takasago, Keizo Wada, Koichi Sairyo
Here we present a case of pseudotumor following total hip arthroplasty (THA) that resulted in a circulatory disturbance caused by compression of the femoral vasculature. A 63-year-old man presented with pain, swelling, and redness of the left leg 5 years after primary metal-on-metal THA using the AML-Plus stem, Pinnacle® acetabular cup, and 36 mm diameter Ultamet™ metal head system (DePuy Orthopaedics, Warsaw, IN). Enhanced computed tomography and magnetic resonance imaging revealed a large cystic lesion extending from the left hip anteriorly to the intrapelvic region and compressing the left femoral vessels...
2017: Case Reports in Orthopedics
Li Wang, Xiaoying Wu, Mingfeng Wu, Zizhou Zhao, Hui Tang, Suqin Li, Lianming Wu, Shiteng Suo, Qing Lu
BACKGROUND: Staging of lower extremity lymphedema (LEL) is difficult in clinical work. The excellent soft tissue contrast of magnetic resonance imaging (MRI) enables soft tissue changes to be feasibly and reproducibly characterized and distinguished. AIM: To determine whether cross-section areas of edema calves measured with MRI could be useful for staging of the LEL. MATERIALS AND METHODS: We recruited 138 participants who were clinically diagnosed with LEL: 61 unilateral and 77 bilateral LEL...
September 28, 2017: Lymphatic Research and Biology
Jung Hwa Do, Kyoung Hyo Choi, Jun Su Ahn, Jae Yong Jeon
OBJECTIVE: The purpose of this study was to investigate the effects of a complex rehabilitation (CR) program and complex decongestive therapy (CDT) on edema status, physical function, and quality of life in patients with unilateral lower-limb lymphedema after gynecologic cancer surgery. METHODS: In this randomized pilot study, 40 patients with secondary unilateral lymphedema, after gynecologic surgery for cervical, endometrial, or ovarian cancer, that had been diagnosed based on clinical assessment and 10% volume differences between the legs were randomly assigned to the CDT (n=20) and CDT combined with CR (CRCDT; n=20) groups...
November 2017: Gynecologic Oncology
Kotaro Suehiro, Noriyasu Morikage, Takasuke Harada, Makoto Samura, Yuriko Takeuchi, Takahiro Mizoguchi, Kaori Nakamura, Kimikazu Hamano
BACKGROUND: We evaluated a modified L-Dex score by using the right arm as a reference (LDSrarm ), to determine whether it could be used for the assessment of leg edema in place of the usual L-Dex score calculated by using the contralateral normal leg as a reference (LDScont ). METHODS: Bioimpedance analysis was performed in the legs and right arms of 38 patients with unilateral leg edema and in 42 healthy volunteers by using a standard equipotential electrode arrangement...
February 2018: Lymphatic Research and Biology
David Holcombe
A 54-year-old woman with a history of long-standing diabetes presented with a six-week history of swelling "on the entire left side of the body." The patient said she had experienced painful swelling of the left thigh and lower leg, but also painless swelling of the "left eye and shoulder."
September 2015: Journal of the Louisiana State Medical Society: Official Organ of the Louisiana State Medical Society
David Holcombe Md
A 54-year-old woman with a history of long-standing diabetes presented with a six-week history of swelling "on the entire left side of the body." The patient said she had experienced painful swelling of the left thigh and lower leg, but also painless swelling of the "left eye and shoulder."
September 2015: Journal of the Louisiana State Medical Society: Official Organ of the Louisiana State Medical Society
Ryota Sugisawa, Naoki Unno, Takaaki Saito, Naoto Yamamoto, Kazunori Inuzuka, Hiroki Tanaka, Masaki Sano, Kazuto Katahashi, Hironori Uranaka, Tomohiko Marumo, Hiroyuki Konno
BACKGROUND: Lymph is pumped through the collecting lymphatic vessels by both intrinsic and extrinsic forces. The intrinsic pump relies on spontaneous lymphatic contraction, which generates the pumping lymph pressure (Plp). Among healthy people with daily leg edema, a considerable number of cases are accompanied with low leg Plp. Herein, a double-blinded controlled trial was conducted in healthy female volunteers with reduced leg Plp to compare the effectiveness of a 15-29 mmHg compression stocking (Stocking A) and a 8-16 mmHg stocking (Stocking B) on elevating Plp...
June 2016: Lymphatic Research and Biology
Satoshi Onoda, Yuki Miura, Narushi Sugiyama
INTRODUCTION: Lymphedema is classified into two main types: secondary lymphedema accompanied by lymph node excision surgery or radiotherapy; and idiopathic lymphedema. Here we experienced a very rare case of lymphatic edema resulting from cardiac surgery that the patient underwent 50 years previously. PRESENTATION OF CASE: A 62-year-old woman experienced progressive unilateral lower leg lymphedema for recent years. After undergoing cardiac surgery at another hospital at the age of 12 years, she gradually developed left lower leg edema...
2016: International Journal of Surgery Case Reports
Tomoya Takasago, Tomohiro Goto, Takahiko Tsutsui, Kenji Kondo, Daisuke Hamada, Ichiro Tonogai, Keizo Wada, Koichi Sairyo
A capital drop is a type of osteophyte at the inferomedial portion of the femoral head commonly observed in hip osteoarthritis (OA), secondary to developmental dysplasia. Capital drop itself is typically asymptomatic; however, symptoms can appear secondary to impinge against the acetabulum or to irritation of the surrounding tissues, such as nerves, vessels, and tendons. We present here a case of unilateral leg edema in a patient with hip OA, caused by a huge bone mass occurring at the inferomedial portion of the femoral head that compressed the femoral vessels...
2015: Case Reports in Orthopedics
E Sioson, J J Alexander, A Mentari, R Heitz, L Mion
Unilateral lower extremity edema and an increased risk of thromboembolism have been associated with hemiplegia following stroke. This study was undertaken to determine the effect of knee-high, graded elastic stockings on venous hemodynamics in hemiplegic patients. Thirty-six patients with recent cerebral infarcts were studied. The presence of underlying venous or arterial occlusive disease was excluded in all patients. Duplex scanning techniques were used to measure femoral and popliteal venous circumference, cross-sectional area, and peak flow velocity in the normal and paralyzed extremities both with and without stockings...
1992: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
Stefani Harmsen, Dirk Schramm, Michael Karenfort, Andreas Christaras, Michael Euler, Ertan Mayatepek, Daniel Tibussek
Dive-related injuries are relatively common, but almost exclusively occur in recreational or scuba diving. We report 2 children with acute central nervous system complications after breath-hold diving. A 12-year-old boy presented with unilateral leg weakness and paresthesia after diving beneath the water surface for a distance of ∼25 m. After ascent, he suddenly felt extreme thoracic pain that resolved spontaneously. Neurologic examination revealed right leg weakness and sensory deficits with a sensory level at T5...
September 2015: Pediatrics
Isao Koshima, Mitsunaga Narushima, Makoto Mihara, Takumi Yamamoto, Hisako Hara, Azusa Ohshima, Kazuki Kikuchi, Ken Todokoro, Yukio Seki, Takuya Iida, Masahiro Nakagawa
BACKGROUND: Collecting lymphatics have lymph-drainage function with contraction of smooth muscle cells. Patients with edema have lost this drainage function due to degeneration of smooth muscle cells. Lymphaticovenular (LV) anastomosis salvages smooth muscle cells from reversible degeneration (mild edema), but muscle cells cannot be recovered from irreversible degeneration (severe edema). Therefore, in severe edema, LV anastomoses cannot reestablish the drainage function of the lymphatic system...
January 2016: Journal of Reconstructive Microsurgery
Kayoko Natsume, Kiyohito Yamamoto, Keizo Tanaka, Takane Hiraiwa, Kuniyoshi Tanaka
The iliopsoas bursa is the largest bursa in the region of hip joint. It is unusual that these bursa become symptomatic. However the bursa can compress femoral vein, leading to lower extremity edema. A 58-year-old man was referred to our department for his unilateral leg edema which had been treated as deep vein thrombosis without any favorable response. Magnetic resonance angiography was performed, which demonstrated enlarged iliopsoas bursa compressing his femoral vein. Surgical removal of the bursa was performed...
2015: Annals of Vascular Diseases
Mediha Ibrahim, Ajsza Matela, Shilpa Desouza, Joseph Mathew
Pleural Case Report PostersSESSION TYPE: Affiliate Case Report PosterPRESENTED ON: Tuesday, October 28, 2014 at 01:30 PM - 02:30 PMINTRODUCTION: Dense fibrous tissue may form over the pleural surface for a variety of reasons. Pleural fibrosis usually follows intense inflammation of the pleura; however, the mechanisms following the inflammatory process leading up to fibrosis are unclear.CASE PRESENTATION: A 60-year-old Liberian woman presented to our institution complaining of dyspnea and leg edema for 3 months...
October 1, 2014: Chest
Marzanna Zaleska, Waldemar L Olszewski, Marek Durlik
BACKGROUND: The manual lymphatic drainage in lymphedema has proved to be successful; however, this method cannot be applied to millions of patients around the world. The only solution is to offer inexpensive, easily accessible mechanical devices for pneumatic compression (IPC). These devices should be designed on parameters of edema fluid hydromechanics. Recent data point to high pressures and long time of compression. AIM: To validate the effects of 3 years daily high pressure, long inflation time IPC therapy in terms of decrease of limb circumference/volume, tissue elasticity, histological changes, and incidental complications...
June 2014: Lymphatic Research and Biology
Umar Zein, Hadiki Habib
No abstract text is available yet for this article.
January 2014: Acta Medica Indonesiana
F-P Pfabe
Unilateral leg swelling is most frequently the result of venous hypertension based on deep vein thrombosis. The suspicion of a pelvic vein thrombosis requires direct thrombus detection and exclusion of the spectrum of differential diagnoses, especially after pelvic surgery. In this paper we report a case of unilateral leg swelling with complex arteriovenous vascular pathology after minimally invasive disc surgery. The differential diagnosis and interventional therapy are discussed.
May 2014: Der Internist
Satoshi Onoda, Takeshi Todokoro, Hisako Hara, Shuchi Azuma, Aya Goto
BACKGROUND: The patients with secondary unilateral lower limb lymphedema are likely to experience lymphedema of the contralateral leg in the future. Our policy is to perform preventive lymphaticovenular anastomosis (LVA) of the contralateral limb without symptoms in these patients. In this report, we describe a minimally invasive preventive LVA procedure and present the preliminary results. METHODS: Ten patients with unilateral lower leg lymphedema underwent multiple LVA procedures through a skin incision over the ankle of the contralateral limb without symptoms...
July 2014: Microsurgery
I Zofková, J Hrbáč, J Dostál, J Sprindrich
Regional migrating osteoporosis (RMO) was observed in young man with episodes of bone pain in bearing joints, which migrated from hip to leg and subsequently to knee on the unilateral side. Dynamic scintigraphy (SPECT) carried out during relapse of pain demonstrated increased accumulation of radioizotope in Lisfrank joint, distal epiphysis of femur and proximal epiphysis of tibia on the unilateral side due to hyperperfusion and high metabolic turnover in these regions of the skeleton. Dia-gnosis of RMO was confirmed by magnetic resonance (MRI), which showed bone marrow edema of corresponding regions...
September 2013: Vnitr̆ní Lékar̆ství
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