Background:

lymphoceles are a rare complication in vascular surgery but can represent a great risk in patients with prosthetic material.

Case report:

we present the case of an 82-year-old man who underwent radiotherapy 43 years ago for non-Hodgkin lymphoma who presented a large lymphocele in contact with prosthetic material after an urgent revascularization. Sclerotherapy treatment with 3% polidocanol foam was performed without achieving satisfactory results for what we chose replace the prosthetic with autologous material and sartorius myoplasty.

Discussion:

despite the failure with sclerotherapy of the cavity, largely due to the great chronic lymphatic blockage, we consider this option the choice in cases of lymphocele due to its low complexity, invasiveness and excellent risk/benefit ratio.

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