Lymphatic Ulcer of Lower Limb



Lymphedema of the limbs is characterized by obstruction of limb collecting lymphatics by inflammation or mechanical obstruction after trauma or oncological surgery and irradiation. Lack of natural tissue fluid drainage pathways is followed by its accumulation in the interstitial space leading to expansion of tissues called clinical edema. The stagnant tissue edema fluid contains proteins, recirculating immune cells, and cellular debris. Moreover, bacteria penetrating the sole of the skin cannot be evacuated due to lack of outflow pathways to the regional lymph nodes. Among the complications of lymphedema, the most frequent are dermatolymphangioadenitis (DLA), skin fibrosis, deposition of fat tissue in the subcutis, and skin ulcers.


Skin Ulcer Great Saphenous Vein Intermittent Pneumatic Compression Venous Ulcer Skin Fibrosis 
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  1. 1.
    Karnasula MV. Management of ulcers in lymphoedematous limbs. Indian J Plast Surg. 2012;45(2):261–5.CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Olszewski WL, Jamal S. Skin bacterial factor in progression of filarial lymphedema. Lymphology. 1994;27:148–9.PubMedGoogle Scholar
  3. 3.
    Olszewski WL, Jamal S, Manokaran G, Pani S, Kumaraswami V, Kubicka U, Łukomska B, Dworczyński A, Swoboda E, Meisel-Mikołajczyk E. Bacteriologic studies of skin, tissue fluid, lymph, and lymph nodes in patients with filarial lymphedema. Am J Trop Med Hyg. 1997;57:7–15.CrossRefPubMedGoogle Scholar
  4. 4.
    Olszewski WL. Prevention of lymphangitis in lymphedema with long-term penicillin: a proposed study. Lymphology. 1994;27:201–5.Google Scholar
  5. 5.
    Olszewski WL. Episodic dermatolymphangioadenitis (DLA) in patients with lymphedema of the lower extremities before and after administration of benzathine penicillin: a preliminary study. Lymphology. 1996;29:126–31.PubMedGoogle Scholar
  6. 6.
    Olszewski WL. Surgical lymphovenous shunts in treatment of lymph stasis (in Polish). Proc Congress Polish Surgical Society. 1966;1:69–70.Google Scholar
  7. 7.
    Nielubowicz J, Olszewski WL. Surgical lymphovenous shunts in patients with secondary lymphedema. Br J Surg. 1968;55:440–4.CrossRefPubMedGoogle Scholar
  8. 8.
    Olszewski WL. Excision of fibrotic inguinal lymph nodes is indicated in lymphedema patients with no- lymph-flow in the groin. Lymphology. 2002;35:430–2.Google Scholar
  9. 9.
    Olszewski WL, Jain P, Ambujam G, Zaleska M, Cakala M, Gradalski T. Tissue fluid pressure and flow during pneumatic compression in lymphedema of lower limbs. Lymphat Res Biol. 2011;9(2):77–83.CrossRefPubMedGoogle Scholar
  10. 10.
    Olszewski WL. A concise compendium on lymphology. Physiological Principles of Physiotherapy. In: Lee BB, Rockson S, Bergan J, editors. Springer; 2011. p. 219.Google Scholar

Copyright information

© Springer India 2016

Authors and Affiliations

  1. 1.Medical Research CenterPolish Academy of Sciences WarsawWarsawPoland

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