Delayed complication of pelvic lymphocele: Ileal conduit obstruction

Radical cystectomy is the standard treatment for muscle invasive bladder cancer. Lymphocele is a common sequalae of pelvic lymphadenectomy. We report an unusual presentation of pelvic lymphocele developing after radical cystectomy reconstructed with an ileal conduit where the patient developed obstr...

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Bibliographic Details
Published in:Indian journal of urology 2015-07, Vol.31 (3), p.254-255
Main Authors: Bankar, Sanket, Bakshi, Ganesh, Prakash, Gagan, Sable, Nilesh
Format: Article
Language:English
Subjects:
Case Report
Case studies
Cystectomy
Ileal conduit
pelvic lymphadenectomy
percutaneous drainage
Postoperative complications
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Summary:Radical cystectomy is the standard treatment for muscle invasive bladder cancer. Lymphocele is a common sequalae of pelvic lymphadenectomy. We report an unusual presentation of pelvic lymphocele developing after radical cystectomy reconstructed with an ileal conduit where the patient developed obstruction of the ileal conduit loop due to external pressure of the lymphocele. Catheter drainage of the conduit relieved the symptoms and a computerized tomography scan showed a large lymphocele causing acute angulation and resultant obstruction of the ileal conduit. The patient was treated with percutaneous drainage of the lymphocele and remains symptom-free on follow-up at 1 year.
ISSN:0970-1591
1998-3824
DOI:10.4103/0970-1591.159660