Bilateral groin adenolymphoceles: An unusual presentation of chylous reflux

We report an unusual presentation of a young man with bilateral groin lymph nodal adenolymphoceles and right leg lymphedema as a manifestation of inte stinal lymphangiectasia. Chylous reflux was supported by conventional and i sotopic lymphography as well as by a fetal lipid test showing delayed trigl yceride absorption 24 hours after ingestion of 60 gm of butter. After excis ion of groin masses in conjunction with dietary control (short-medium chain triglycerides), manual massage, pneumatic compression, and long-term weari ng of a low stretch elastic garments he remains well.