Intranodal Lymphangiography during Surgical Repair of Pelvic Lymphorrhea after Radical Cystectomy
Lymphorrhea can develop after various types of surgeries. Surgical closure of the lymphatic leakage point is an effective treatment option. However, it is difficult to identify the leakage point sometimes. Here, we report a case of pelvic lymphorrhea after radical cystectomy for bladder cancer. Iden...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-01-01
|
| Series: | Case Reports in Urology |
| Online Access: | http://dx.doi.org/10.1155/2021/7822422 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849308112171827200 |
|---|---|
| author | Yasuyuki Onishi Yusaku Moribata Hironori Shimizu Kosuke Shimizu Takeshi Sano Takashi Kobayashi Yuji Nakamoto |
| author_facet | Yasuyuki Onishi Yusaku Moribata Hironori Shimizu Kosuke Shimizu Takeshi Sano Takashi Kobayashi Yuji Nakamoto |
| author_sort | Yasuyuki Onishi |
| collection | DOAJ |
| description | Lymphorrhea can develop after various types of surgeries. Surgical closure of the lymphatic leakage point is an effective treatment option. However, it is difficult to identify the leakage point sometimes. Here, we report a case of pelvic lymphorrhea after radical cystectomy for bladder cancer. Identification of the leakage point was difficult during laparoscopic surgical repair of lymphorrhea. Intranodal lymphangiography was performed via the inguinal lymph node by injection of lipiodol, followed by injection of indigo carmine. Laparoscopy revealed extravasation of lipiodol and indigo carmine from the pelvic wall. The leakage point was successfully cauterized using an electric scalpel. Lymphorrhea improved after the surgical repair. This case suggests that intranodal lymphangiography may be useful for detecting the site of lymphatic leakage during the surgical repair of lymphorrhea. |
| format | Article |
| id | doaj-art-13d8c67d330e4e87b97f66cf765c898e |
| institution | Kabale University |
| issn | 2090-696X 2090-6978 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Urology |
| spelling | doaj-art-13d8c67d330e4e87b97f66cf765c898e2025-08-20T03:54:33ZengWileyCase Reports in Urology2090-696X2090-69782021-01-01202110.1155/2021/78224227822422Intranodal Lymphangiography during Surgical Repair of Pelvic Lymphorrhea after Radical CystectomyYasuyuki Onishi0Yusaku Moribata1Hironori Shimizu2Kosuke Shimizu3Takeshi Sano4Takashi Kobayashi5Yuji Nakamoto6Department of Diagnostic Imaging and Nuclear Medicine, Kyoto University Graduate School of Medicine, JapanDepartment of Diagnostic Imaging and Nuclear Medicine, Kyoto University Graduate School of Medicine, JapanDepartment of Diagnostic Imaging and Nuclear Medicine, Kyoto University Graduate School of Medicine, JapanDepartment of Urology, Kyoto University Graduate School of Medicine, JapanDepartment of Urology, Kyoto University Graduate School of Medicine, JapanDepartment of Urology, Kyoto University Graduate School of Medicine, JapanDepartment of Diagnostic Imaging and Nuclear Medicine, Kyoto University Graduate School of Medicine, JapanLymphorrhea can develop after various types of surgeries. Surgical closure of the lymphatic leakage point is an effective treatment option. However, it is difficult to identify the leakage point sometimes. Here, we report a case of pelvic lymphorrhea after radical cystectomy for bladder cancer. Identification of the leakage point was difficult during laparoscopic surgical repair of lymphorrhea. Intranodal lymphangiography was performed via the inguinal lymph node by injection of lipiodol, followed by injection of indigo carmine. Laparoscopy revealed extravasation of lipiodol and indigo carmine from the pelvic wall. The leakage point was successfully cauterized using an electric scalpel. Lymphorrhea improved after the surgical repair. This case suggests that intranodal lymphangiography may be useful for detecting the site of lymphatic leakage during the surgical repair of lymphorrhea.http://dx.doi.org/10.1155/2021/7822422 |
| spellingShingle | Yasuyuki Onishi Yusaku Moribata Hironori Shimizu Kosuke Shimizu Takeshi Sano Takashi Kobayashi Yuji Nakamoto Intranodal Lymphangiography during Surgical Repair of Pelvic Lymphorrhea after Radical Cystectomy Case Reports in Urology |
| title | Intranodal Lymphangiography during Surgical Repair of Pelvic Lymphorrhea after Radical Cystectomy |
| title_full | Intranodal Lymphangiography during Surgical Repair of Pelvic Lymphorrhea after Radical Cystectomy |
| title_fullStr | Intranodal Lymphangiography during Surgical Repair of Pelvic Lymphorrhea after Radical Cystectomy |
| title_full_unstemmed | Intranodal Lymphangiography during Surgical Repair of Pelvic Lymphorrhea after Radical Cystectomy |
| title_short | Intranodal Lymphangiography during Surgical Repair of Pelvic Lymphorrhea after Radical Cystectomy |
| title_sort | intranodal lymphangiography during surgical repair of pelvic lymphorrhea after radical cystectomy |
| url | http://dx.doi.org/10.1155/2021/7822422 |
| work_keys_str_mv | AT yasuyukionishi intranodallymphangiographyduringsurgicalrepairofpelviclymphorrheaafterradicalcystectomy AT yusakumoribata intranodallymphangiographyduringsurgicalrepairofpelviclymphorrheaafterradicalcystectomy AT hironorishimizu intranodallymphangiographyduringsurgicalrepairofpelviclymphorrheaafterradicalcystectomy AT kosukeshimizu intranodallymphangiographyduringsurgicalrepairofpelviclymphorrheaafterradicalcystectomy AT takeshisano intranodallymphangiographyduringsurgicalrepairofpelviclymphorrheaafterradicalcystectomy AT takashikobayashi intranodallymphangiographyduringsurgicalrepairofpelviclymphorrheaafterradicalcystectomy AT yujinakamoto intranodallymphangiographyduringsurgicalrepairofpelviclymphorrheaafterradicalcystectomy |