case_images: PMC3922229_01
case_images: Left medial calf lymphocele at site of harvested saphenous vein.
case_images: eplasty13e57_fig1.jpg
case_images: PMC3922229_01_eplasty13e57_fig1.jpg
case_images: F1
case_images: His examination was remarkable for a 12-cm, mobile, nonpulsatile soft tissue mass at his medial left calf without tenderness or erythema (Fig 1).
case_images: Subcutaneous soft tissue mass measuring 12.0 x 10.3 x 4.7 cm3 in the vicinity of prior greater saphenous vein, without abnormal enhancement.
case_images: eplasty13e57_fig2.jpg
case_images: PMC3922229_01_eplasty13e57_fig2.jpg
case_images: F2
case_images: Lower extremity ultrasonography demonstrated focal subcutaneous edema, and magnetic resonance imaging showed a 12.0 x 10.3 x 4.7 cm3 subcutaneous soft tissue mass with surrounding fibrous tissue in the vicinity of his prior greater saphenous vein (Fig 2).
case_images: Intradermal injection of isosulfan blue dye circumferentially at the ankle.
case_images: eplasty13e57_fig3.jpg
case_images: PMC3922229_01_eplasty13e57_fig3.jpg
case_images: F3
case_images: The operative technique was comprised of preoperative intradermal injection of 4 mL of 1% isosulfan blue circumferentially around the ankle (Fig 3).
case_images: A blue-staining lymphatic vessel (arrow) is identified within the exposed lymphocele cavity.
case_images: eplasty13e57_fig4.jpg
case_images: PMC3922229_01_eplasty13e57_fig4.jpg
case_images: F4
case_images: Several blue feeding lymphatic channels were identified and isolated (Fig 4).