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ACTA PHLEBOLOGICA

A Journal on Phlebology


Official Journal of the Italian College of Phlebology
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Acta Phlebologica 2015 April;16(1):29-35

language: English

Deep vein thrombosis: complication of chronic lymphedema

Radu D. 1, 2, Cristodor P. 3, Teodorescu M. 4

1 First Surgical Clinic, County Emergency Hospital “Pius Brinzeu”, Timisoara, Romania;
2 Surgical Department, University of Medicine and Pharmacy “Victor Babes”, Timisoara, Romania;
3 Department of Dermatology, University of Medicine and Pharmacy “Victor Babes”, Timisoara, Romania;
4 Surgical Clinic, County Emergency Hospital “Pius Brinzeu”, Timisoara, Romania


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Lymphedema is defined as the interstitial, abnormal, accumulation of protein-rich fluid in soft tissues, results from the dysfunction of lymphatic system, an imbalance between lymph formation and its absorption into the proximal lymphatics. The patient (male, 62 years old) was admitted at the First Surgical Clinic, County Emergency Hospital “Pius Brinzeu” Timisoara, University of Medicine and Pharmacy “Victor Babes” Timisoara, Romania on October 21, 2014. In such clinical case hospitalization a specialized department is recommended, to fit the correct diagnosis and therapeutic approach. To treat acute complication (deep veins thrombosis) we use heparin, elevated leg, 4 layer bandage and, when acute signs are removed we move the patient to the Dermatological Department for the complete decongestive therapy and local treatment. General signs disappear after 7 days of pathogenic treatment and significantly improving of local signs, with reduction of edema, disappearance of local redness, pain, other complaints, ability to move without pain, were evidence of the favorable evolution, the good outcome. Patient discharge, after 21 days of hospitalization (14 days in our clinic and 7 in Dermatological Department) must be pursued with ambulatory specific conservative treatment. Combined measures required the treatment of acute complications of lymphedema, with good outcome, despite of knowledge of no curative treatment of this disease. Treatment of lymphedema includes practical advices, manual lymph drainage, bandaging, self-bandaging, elastic compression garment, skin care and physical exercises, and sometimes surgery. Weight loss may be useful in case of obesity.

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