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CASE REPORT
Doxycycline sclerotherapy for post-traumatic inguinal lymphocele in a child
  1. Amanda W Harrington1,
  2. John J Tackett2,
  3. Brendon L Graeber3,
  4. Robert A Cowles4
  1. 1 Department of Surgery, Yale-New Haven Hospital, New Haven, Connecticut, USA
  2. 2 Department of Surgery, Yale University School of Medicine, New Haven, Connecticut, USA
  3. 3 Section of Pediatric Radiology, Yale University School of Medicine, New Haven, Connecticut, USA
  4. 4 Section of Pediatric Surgery, Yale-New Haven Hospital, New Haven, Connecticut, USA
  1. Correspondence to Dr Amanda W Harrington, amanda.harrington{at}yale.edu

Summary

Lymphoceles are abnormal collections of lymphatic fluid caused by a disruption in the lymphatic channels and leakage of lymph. This most commonly occurs after surgical procedures, but occasionally lymphoceles may be the result of trauma, more commonly penetrating trauma. Lymphoceles resulting from blunt trauma are rare in both adults and children. In the adult population, there are few published case reports, and management principles vary. To date, there are no reports of traumatic lymphoceles in the paediatric population, and therefore there is no precedent for treatment. Here, we report the case of a young boy who developed an inguinal lymphocele from a bicycle handle bar injury which was successfully treated with doxycycline sclerotherapy.

  • trauma
  • paediatric surgery

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Footnotes

  • Contributors AWH contributed through conception, drafting and revising the work and is accountable for all aspects related to the accuracy or integrity of the work. JJT contributed through acquisition of data. BLG contributed through conception, acquisition and analysis of images and figures. RAC, senior author, contributed through conception, acquisition, drafting, and final revisions of the work and is accountable for the accuracy and integrity of the final manuscript.

  • Competing interests None declared.

  • Patient consent Guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.