Zelikovski A, Haddad M, Koren A, Avrahami R, Loewinger J.
Lipedema complicated by lymphedema of the abdominal wall and lower limbs.
Lymphology 2000 Jun;33(2):43-6

Department of Vascular Surgery, Rabin Medical Center, Petah Tiqva, Israel.

We describe a 52 year-old woman in whom lymphedema primarily of the abdominal wall
was superimposed on lipedema resulting in an abdomen of enormous dimensions with
marked impairment of ambulation. Treatment consisted of preoperative compression of
the legs by an external pneumatic device (Lympha-Press) followed by excision of the
lymphedematous abdominal fat pad in conjunction with "debulking" of the right leg.
The patient illustrates the extremes of lipedema complicated by lymphedema and the
technical difficulties associated with its management.