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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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Published in:Indian journal of urology 2015-07, Vol.31 (3), p.254-255
Main Authors: Bankar, Sanket, Bakshi, Ganesh, Prakash, Gagan, Sable, Nilesh
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container_title Indian journal of urology
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creator Bankar, Sanket
Bakshi, Ganesh
Prakash, Gagan
Sable, Nilesh
description 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.
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1998-3824
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source Medknow Open Access Journals; Publicly Available Content Database; PubMed Central
subjects Case Report
Case studies
Cystectomy
Ileal conduit
pelvic lymphadenectomy
percutaneous drainage
Postoperative complications
title Delayed complication of pelvic lymphocele: Ileal conduit obstruction
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