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Both truncular and extratruncular forms of lymphatic malformations; as described in the Hamburg classification; remain difficult to treat. Most of these malformations are treated adequately or present with complications (recurrent infection, cellulitis, bleeding, skin ooze) increasing the therapeutic challenge. We present a case with complications of a LM highlighting the need for early intervention for these lesions. A 19 year old male presented with watery discharge from the skin over a left thigh swelling since childhood. He was diagnosed to have an extratruncular Lymphatic Malformation (LM). Treatment was deferred. He presented with necrosis of the skin and subcutaneous tissue after 3 months requiring debridement and split thickness skin graft..read more
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