Late Inguinal Swelling: Don’t Judge a Book by Its Cover! An Unusual Case of Lymphocele
A 58-year-old man with a history of diabetes type I and chronic coronary syndrome who underwent coronary artery bypass grafting (CABG) 7 years before was admitted to a cardiology unit for unplanned cardiac catheterization because of dyspnea and chest pain at rest. Femoral access was chosen because o...
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-03-01
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| Series: | Reports |
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| Online Access: | https://www.mdpi.com/2571-841X/7/1/20 |
| _version_ | 1797239437726318592 |
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| author | Francesco Natale Giovanni Cimmino |
| author_facet | Francesco Natale Giovanni Cimmino |
| author_sort | Francesco Natale |
| collection | DOAJ |
| description | A 58-year-old man with a history of diabetes type I and chronic coronary syndrome who underwent coronary artery bypass grafting (CABG) 7 years before was admitted to a cardiology unit for unplanned cardiac catheterization because of dyspnea and chest pain at rest. Femoral access was chosen because of the previous CABG and a vascular closure device (VCD) was used at the end of the procedure. Because of femoral artery rupture during VCD implantation, surgical vascular repair was performed. About 45 days later, the patient experienced a growing inguinal swelling at the site of vascular access in the absence of fever and clinical features of inflammation. The swelling became painful over time. Despite the most probable hypothesis of a hematoma, pseudoaneurysm, and inguinal abscess, a final diagnosis of lymphocele was made. |
| first_indexed | 2024-04-24T17:51:32Z |
| format | Article |
| id | doaj.art-40ac27767b5046a7a987dbaff6000feb |
| institution | Directory Open Access Journal |
| issn | 2571-841X |
| language | English |
| last_indexed | 2024-04-24T17:51:32Z |
| publishDate | 2024-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Reports |
| spelling | doaj.art-40ac27767b5046a7a987dbaff6000feb2024-03-27T14:02:58ZengMDPI AGReports2571-841X2024-03-01712010.3390/reports7010020Late Inguinal Swelling: Don’t Judge a Book by Its Cover! An Unusual Case of LymphoceleFrancesco Natale0Giovanni Cimmino1Vanvitelli Cardiology Unit, Monaldi Hospital, 80131 Naples, ItalyCardiology Unit, Azienda Ospedaliera Universitaria Luigi Vanvitelli, 80138 Naples, ItalyA 58-year-old man with a history of diabetes type I and chronic coronary syndrome who underwent coronary artery bypass grafting (CABG) 7 years before was admitted to a cardiology unit for unplanned cardiac catheterization because of dyspnea and chest pain at rest. Femoral access was chosen because of the previous CABG and a vascular closure device (VCD) was used at the end of the procedure. Because of femoral artery rupture during VCD implantation, surgical vascular repair was performed. About 45 days later, the patient experienced a growing inguinal swelling at the site of vascular access in the absence of fever and clinical features of inflammation. The swelling became painful over time. Despite the most probable hypothesis of a hematoma, pseudoaneurysm, and inguinal abscess, a final diagnosis of lymphocele was made.https://www.mdpi.com/2571-841X/7/1/20swellingvascular closure deviceultrasoundlymphocele |
| spellingShingle | Francesco Natale Giovanni Cimmino Late Inguinal Swelling: Don’t Judge a Book by Its Cover! An Unusual Case of Lymphocele Reports swelling vascular closure device ultrasound lymphocele |
| title | Late Inguinal Swelling: Don’t Judge a Book by Its Cover! An Unusual Case of Lymphocele |
| title_full | Late Inguinal Swelling: Don’t Judge a Book by Its Cover! An Unusual Case of Lymphocele |
| title_fullStr | Late Inguinal Swelling: Don’t Judge a Book by Its Cover! An Unusual Case of Lymphocele |
| title_full_unstemmed | Late Inguinal Swelling: Don’t Judge a Book by Its Cover! An Unusual Case of Lymphocele |
| title_short | Late Inguinal Swelling: Don’t Judge a Book by Its Cover! An Unusual Case of Lymphocele |
| title_sort | late inguinal swelling don t judge a book by its cover an unusual case of lymphocele |
| topic | swelling vascular closure device ultrasound lymphocele |
| url | https://www.mdpi.com/2571-841X/7/1/20 |
| work_keys_str_mv | AT francesconatale lateinguinalswellingdontjudgeabookbyitscoveranunusualcaseoflymphocele AT giovannicimmino lateinguinalswellingdontjudgeabookbyitscoveranunusualcaseoflymphocele |