Lymphoscintigraphic evidence supports the existence of axillo-inguinal anastomotic pathways in a patient with chronic secondary leg lymphoedema subsequent to inguinal node clearance and radiotherapy

Lymphoscintigraphy using 99m Tc-Antimony trisulphide colloid was used to confirm the existence of axillo inguinal anastomotic pathways in a 37 y female patient with unilateral lymphoedema subsequent to a total abdominal hysterectomy and radiotherapy. It was believed that these pathways were previously opened by complex physical therapy and flow through them facilitated during lymphoscintigraphy by stimulating lymph now through mild exercise.