Chylous lymphedema. (A) Patient with chylolymphedema of the external genitalia and left leg with marked scrotal chylous warts and chylorrhea. (B) Lymphoscintigraphic.

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Chylous lymphedema. (A) Patient with chylolymphedema of the external genitalia and left leg with marked scrotal chylous warts and chylorrhea. (B) Lymphoscintigraphic imaging demonstrates massive reflux of tracer into the left leg and scrotum. Treatment consisted of multiple lymphatic–venous anastomoses performed bilaterally at the groin, plastic reduction of external genitalia, and laser carbon dioxide treatment of the chylous warts. (C) Long-term results have been maintained. Source: Lymphatic Surgery and Surgery of Lymphatic Disorders, Venous and Lymphatic Diseases Citation: Dieter RS, Dieter RA, Jr., Dieter RA, III. Venous and Lymphatic Diseases; 2016 Available at: http://accesscardiology.mhmedical.com/DownloadImage.aspx?image=/data/Books/1782/dieven_ch42_f016.png&sec=121400641&BookID=1782&ChapterSecID=121400565&imagename= Accessed: October 05, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved