June 1973


Arch Surg. 1973;106(6):764. doi:10.1001/archsurg.1973.01350180004004

Complications of lymphography with oil contrast media are infrequent but well known. Koehler discussed them in 19671 and again in 1968.2

Cerebral complications were listed by Koehler as the most infrequent. In his review, they occurred once in 3,500 lymphographies. They are, however, a very serious complication and must be guarded against. The first thing to bear in mind is the volume of oil injected. Except under exceptional circumstances and with particular precautions, no more than 7 ml per lower extremity, ie, a total of 14 ml, should be given in an adult patient. must be borne in mind. These are extremely important. They are likely to occur in patients with metastases, particularly in lymph nodes. They have been well documented by Kinmonth3 and Edwards and Kinmonth.4

Probably the best way of detecting lymphovenous shunting is to monitor the lymphogram by repeating radiographs as the dye

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