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Chronic oedema presenting in the community is not always typical lymphoedema. It may have a more complicated aetiology, or can be complicated by other problems. This case study presents an example of such a case. The patient was affected by lymphovenous oedema, complicated by large bilateral leg ulcers. Management by the district nurses had kept the ulceration in check, but improvement was only achieved through multidisciplinary cooperation between district nurses, tissue viabililty nurses and the lymphoedema team.

Case study 1: patient who disliked home visits S19 Case study 2: patient who could not tolerate compression bandages S20 Case study 3: infected, non-healing venous leg ulcer S21 Case study 4: patient with a history of deep vein thrombosis and pulmonary embolism S22 Conclusion S23