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September 20, 1965

Lymphotoma—Symptomatic Lymph Leakage After Surgery

Author Affiliations

From the departments of hospital radiology and peripheral vascular disease, Cleveland Clinic Foundation, Cleveland. Dr. Ruiz-Oleaga is a Special Fellow in the Department of Peripheral Vascular Disease, Cleveland Clinic.

JAMA. 1965;193(12):1058-1059. doi:10.1001/jama.1965.03090120066024

ALTERATION OF FLOW of lymphatic fluid in the pelvis and abdomen secondary to metastatic disease,1 to trauma,2 and to radiation3 has been well documented; there are few reports, however, of the changes brought about by surgical transection of the lymphatic vessels of the abdomen.

Dodd and his associates4 demonstrated lymphangiographic evidence of pools of lymphatic fluid that had extravasated into the pelvis after transection of lymphatic vessels during pelvic surgery. The importance of the collections of lymph was emphasized by the occurrence of secondary urinarytract obstruction and sepsis. These collections of lymph were termed "lymphocysts" and "lymphoceles." These terms we consider misnomers because of the absence of a limiting endothelial lining. Since the masses described represent free lymphatic fluid, we believe that the term "lymphotoma," analogous to "hematoma" (a free collection of blood), is a more appropriate name.

Despite the increased number of resections of aortic

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