Quencer Keith B, Ayyagari Raj R, Friedman Tamir
Department of Radiology, University of California San Diego School of Medicine, San Diego, CA - USA.
Department of Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, CT - USA.
J Vasc Access. 2017 Jul 14;18(4):e45-e47. doi: 10.5301/jva.5000732.
We present a case of an iatrogenic lymphocutaneous fistula secondary to placement of a tunneled, large bore (14.5 Fr) right-sided internal jugular vein for plasmapheresis to treat antibody-mediated kidney transplant rejection. While iatrogenic lymphatic leaks caused by neck and thoracic surgeries are well described in the literature, lymphatic leak or lymphocutaneous fistula resulting from image-guided placement of a central venous catheter through the right internal jugular vein has yet to be described. We also describe the successful percutaneous treatment of this lymphocutaneous fistula using a combination of n-butyl cyanoacrylate glue and embolization coils.
