Presentation
Our present results concur with theirs. One patient presented with acute onset urinary incontinence 3 weeks after surgery, which was due to bilateral lymphoceles. Hence, patients with such symptoms should prompt evaluation for lymphocele. [onlinelibrary.wiley.com]
Conclusion Lymphocele presenting as syncope is very rare, but high index of suspicion should be reserved for patients who had undergone pelvic surgery presenting with orthostatic symptoms of unknown etiology. [onlinejacc.org]
We report the presentation and management of a lymphocele after a multilevel ALIF procedure. Case Presentation A 56-year-old man presented to us with chronic, progressive midline low back pain associated with right lower extremity radiculopathy. [cureus.com]
[…] at the time of presentation. [journals.sagepub.com]
Case Presentation: A 57-year-old man with robotic prostatectomy 2 months ago for prostate cancer presented with 2 days of right lower extremity swelling. [shmabstracts.com]
Entire Body System
-
Collapse
This is followed by the injection of a sclerosing agent via the same catheter to destroy the lining of the lymphocele so it will collapse, which will prevent the fluid from accumulating again in the same site. [docdoc.com.sg]
Current noninvasive methods aim treatment at collapsing the walls of the lymphocele, while a few treatment options target the feeding lymphatic pathway directly. [clinicsinsurgery.com]
-
Lymphadenopathy
One supraclavicular lymphocele had significant regional lymphadenopathy that may have contributed to development via lymphatic obstruction (Figs. 3A and 3B ). [ajronline.org]
-
Recurrent Infection
Although surgical resection was initially considered the gold standard treatment for lymphocele [7], its association with high rate of recurrence, infection, and need for hospitalization quickly replaced the open procedure with laparoscopic approach [ [clinicsinsurgery.com]
Gastrointestinal
-
Pelvic Mass
Patients with SPL may present a visible or palpable pelvic mass. Symptoms or signs may be a result of venous compression resulting in unilateral leg edema, leg pain and deep vein thrombosis. [scielo.br]
Skin
-
Night Sweats
When secondarily infected, fever, chills, and even night sweats are seen. [renalandurologynews.com]
Workup
Microbiology
-
Human Parvovirus B19
Frequency of transmission of human parvovirus B19 infection by fibrin sealant used during thoracic surgery. Ann Thorac Surg. 2002;73(4):1098–1100. 28. Cipolla C, Fricano S, Vieni S, et al. [dovepress.com]
Treatment
This is the standard protocol for lymphocele treatment. com, including information on symptoms, causes and treatments. [xvqo.ronaldwittek.de]
[…] any form of treatment. [docdoc.com.sg]
If this therapy fails as first-line treatment, laparoscopic lymphocelectomy should be considered within a short period of time in order to achieve successful treatment. [scielo.br]
Symptomatic lymphocele (LC) can be a complication after pelvic and para-aortic lymphadenectomy performed for treatment or staging purposes in the management of some cancers. [clinicaltrials.gov]
Fifty-two patients who were referred for lymphocele treatment were included in this study. Sixty lymphoceles of 52 patients were treated by percutaneous treatment with or without ethanol sclerotherapy. [lymphedemapeople.com]
Prognosis
In the absence of lymphatic metastases, 5-year survival can reach up to 84–96%, whereas it decreases to 30% or lower in patients with positive inguinofemoral lymph nodes. 2, 3 Given the impact of lymphatic metastases on future prognosis, assessment of [dovepress.com]
Etiology
Conclusion Lymphocele presenting as syncope is very rare, but high index of suspicion should be reserved for patients who had undergone pelvic surgery presenting with orthostatic symptoms of unknown etiology. [onlinejacc.org]
6, 8 As with these previously reported cases the initial presentation of our patient showed fever, chills and leukocytosis of unknown etiology but unlike these cases, our patient was over 2 years post-procedure at the time of presentation. [journals.sagepub.com]
A number of etiological factors are described and a large variety of combinations are likely to be causal. [ijtonline.in]
Trauma has also been suggested as the underlying etiology 1,4,5. Pigtail catheter drainage serves well to decompress the lymphocele and further induce fibrosis. [xvqo.ronaldwittek.de]
PATHOPHYSIOLOGY AND RISK FACTORS Surgery related risk factors The etiology of lymphoceles may be categorised broadly based on surgical or medical risk factors. [scitcentral.com]
Epidemiology
Furthermore, we will discuss the different management options available for the treatment of lymphoceles, as well as our institutional experience concerning the management of clinically symptomatic lymphoceles. 445, Page 2 of 11 Curr Urol Rep (2014) 15:445 Epidemiology [docksci.com]
I ntraoperative placing of drains decreases the incidence of lymphocele and deep vein thrombosis after renal transplantation BJU Int. 2008 Jan Section of Renal Transplantation, Glickman Urological Institute, and Department and Biostatistics and Epidemiology [lymphedemapeople.com]
Pathophysiology
PATHOPHYSIOLOGY AND RISK FACTORS Surgery related risk factors The etiology of lymphoceles may be categorised broadly based on surgical or medical risk factors. [scitcentral.com]
Pathophysiology, natural history The exact mechanism of lymphocele formation after either transperitoneal or extraperitoneal prostatectomy with lymphadenectomy is largely speculative. [renalandurologynews.com]
Post transplant lymphoceles: A critical look into the risk factors, pathophysiology and management. J Urol 1993; 150: 22-26. 16. Sonnenberg E, Wittich GR, Casola G et al. Lymphoceles: Imaging characteristics and percutaneous management. [indianjurol.com]
Pathophysiology Lymphoceles are more commonly acquired than spontaneous [ 18 ]. [ajronline.org]
Prevention
Lymphedema microsurgical preventive healing approach for primary prevention of lower limb lymphedema after inguinofemoral lymphadenectomy for vulvar cancer. Int J Gynecol Cancer. 2013;23(4):769–774. doi:10.1097/IGC.0b013e318287a8e8 22. [dovepress.com]
Virtually all types of hemostatic agents have been used in attempts to prevent lymphocele formation. [renalandurologynews.com]
[…] in Kidney Transplantation: An Overview of a Portuguese Reference Center. 38 Carvalho JA...Figueiredo A 31155198 2019 19 Perinephric transplant fluid collection approach and management. 38 Alshamsi I...Halawa A 31249219 2019 20 Tissue sealants for the prevention [malacards.org]
This is followed by the injection of a sclerosing agent via the same catheter to destroy the lining of the lymphocele so it will collapse, which will prevent the fluid from accumulating again in the same site. [docdoc.com.sg]
Preventive treatment is more effective, Aitken suggested a reduction of the surgical detachment spaces as a real solution to decrease seriously the incidence. Differential Diagnosis List Final Diagnosis Breast lymphocele [eurorad.org]