Lymphedema pp 557-561 | Cite as

Management of Phlebolymphedema Ulcers

  • Takki A. Momin
  • Richard F. Neville


Lymphedema is a progressive condition of excessive protein edema, which in time leads to chronic inflammation and irreversible fibrosis. Ulcers associated with phlebolymphedema are a consequence of long-standing lymphedema combined with underlying venous insufficiency. The true incidence of this condition remains unknown, because it is seldom correctly recognized. Identification of the etiology of ulcerogenesis is a key step in successful treatment of all ulcers of the lower extremity. This step is especially important for ulcers caused by phlebolymphedema to guide appropriate therapy.


Lymphatic System Spin Echo Venous Insufficiency Honeycomb Pattern Perforator Vein 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1.  1.
    Bunke N, Brown K, Bergen J. Phlebolymphedema: usually unrecognized, often poorly treated. Perspect Vasc Endovasc Ther. 2009;21(2):65-68.CrossRefGoogle Scholar
  2.  2.
    Robert K. Diagnosis of chronic venous insufficiency. J Vasc Surg. 1986;3(1):185-188.CrossRefGoogle Scholar
  3.  3.
    Rockson SG. Diagnosis and management of lymphatic vascular disease. J Am Coll Cardiol. 2008;52:799-806.PubMedCrossRefGoogle Scholar
  4.  4.
    Silva HJ, Perez JMC, Barros N, Castiglioni MLV, Novo NF, Miranda F. Venous-Lymphatic disease: lymphoscintigraphic abnormalities in venous ulcers. J Vasc Brasil. 2009;8(1):33-42.Google Scholar
  5.  5.
    Astrom KGO, Abdsaleh S, Brenning GC, Ahlstrom KH, Uppsala MR. Imaging of primary, secondary, and mixed forms of lymphedema. Acta Radiol. 2001;42:409-416.PubMedGoogle Scholar
  6.  6.
    Liu N-F et al. Comparison of radionuclide lymphoscintigraphy and dynamic magnetic resonance lymphangiography for investigating extremity lymphoedema. Br J Surg. 2010;97:359-365.PubMedCrossRefGoogle Scholar
  7.  7.
    Minoru S, Naoki U, Naoto Y, Motohiro N, Daisuke S. Impaired lymphatic function recovered after great saphenous vein stripping in patients with varicose vein: venodynamic and lymphodynamic results. J Vasc Surg. 2009;50(5):1085-1091.CrossRefGoogle Scholar

Copyright information

© Springer-Verlag London Limited 2011

Authors and Affiliations

  • Takki A. Momin
    • 1
  • Richard F. Neville
  1. 1.Georgetown University/Washington Hospital CenterWashingtonUSA

Personalised recommendations