Treatment of a high-volume retroperitoneal lymphocele with obstructive hydronephrosis following lymph node dissection via combined intra-lymphocele retrograde lymphangiography with glue embolization and sclerotherapy
Management of symptomatic lymphoceles typically involves sclerotherapy and lymphangiography with embolization. When many afferent lymphatic channels are supplying a large-volume lymphocele, sclerotherapy is associated with high recurrence rate. This case presents a patient who underwent retroperiton...
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| Language: | English |
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Elsevier
2025-01-01
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| Series: | Urology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214442024002493 |
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| author | Jonathan Bock Vidit Sharma Michael Jundt Emily Bendel Scott Thompson |
| author_facet | Jonathan Bock Vidit Sharma Michael Jundt Emily Bendel Scott Thompson |
| author_sort | Jonathan Bock |
| collection | DOAJ |
| description | Management of symptomatic lymphoceles typically involves sclerotherapy and lymphangiography with embolization. When many afferent lymphatic channels are supplying a large-volume lymphocele, sclerotherapy is associated with high recurrence rate. This case presents a patient who underwent retroperitoneal lymph node dissection and developed a high-volume lymphocele that was compressing the ipsilateral ureter, causing hydronephrosis. He was treated with retrograde lymphangiography, whereby contrast dye was injected through the existing lymphocele drain and afferent lymphatics were visualized upon contrast reflux. These afferent channels were embolized and the lymphocele cavity was sclerosed, leading to reduction in lymphocele output, drain removal, and normalization of kidney function. |
| format | Article |
| id | doaj-art-183c28fc16ca4ac6b191c6ea91361a08 |
| institution | Kabale University |
| issn | 2214-4420 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Urology Case Reports |
| spelling | doaj-art-183c28fc16ca4ac6b191c6ea91361a082025-01-14T04:12:17ZengElsevierUrology Case Reports2214-44202025-01-0158102895Treatment of a high-volume retroperitoneal lymphocele with obstructive hydronephrosis following lymph node dissection via combined intra-lymphocele retrograde lymphangiography with glue embolization and sclerotherapyJonathan Bock0Vidit Sharma1Michael Jundt2Emily Bendel3Scott Thompson4Mayo Clinic Alix School of Medicine, 226 2nd St SW, Rochester, MN 55905, USA; Corresponding author. 226 2nd St SW Rochester, MN 55905, USA.Mayo Clinic Department of Urology, 200 1st St SW, Rochester, MN 55905, USAMayo Clinic Department of Interventional Radiology, 200 1st St SW, Rochester, MN 55905, USAMayo Clinic Department of Interventional Radiology, 200 1st St SW, Rochester, MN 55905, USAMayo Clinic Department of Interventional Radiology, 200 1st St SW, Rochester, MN 55905, USAManagement of symptomatic lymphoceles typically involves sclerotherapy and lymphangiography with embolization. When many afferent lymphatic channels are supplying a large-volume lymphocele, sclerotherapy is associated with high recurrence rate. This case presents a patient who underwent retroperitoneal lymph node dissection and developed a high-volume lymphocele that was compressing the ipsilateral ureter, causing hydronephrosis. He was treated with retrograde lymphangiography, whereby contrast dye was injected through the existing lymphocele drain and afferent lymphatics were visualized upon contrast reflux. These afferent channels were embolized and the lymphocele cavity was sclerosed, leading to reduction in lymphocele output, drain removal, and normalization of kidney function.http://www.sciencedirect.com/science/article/pii/S2214442024002493LymphoceleHydronephrosisRetrograde lymphangiographyEmbolizationSclerotherapy |
| spellingShingle | Jonathan Bock Vidit Sharma Michael Jundt Emily Bendel Scott Thompson Treatment of a high-volume retroperitoneal lymphocele with obstructive hydronephrosis following lymph node dissection via combined intra-lymphocele retrograde lymphangiography with glue embolization and sclerotherapy Urology Case Reports Lymphocele Hydronephrosis Retrograde lymphangiography Embolization Sclerotherapy |
| title | Treatment of a high-volume retroperitoneal lymphocele with obstructive hydronephrosis following lymph node dissection via combined intra-lymphocele retrograde lymphangiography with glue embolization and sclerotherapy |
| title_full | Treatment of a high-volume retroperitoneal lymphocele with obstructive hydronephrosis following lymph node dissection via combined intra-lymphocele retrograde lymphangiography with glue embolization and sclerotherapy |
| title_fullStr | Treatment of a high-volume retroperitoneal lymphocele with obstructive hydronephrosis following lymph node dissection via combined intra-lymphocele retrograde lymphangiography with glue embolization and sclerotherapy |
| title_full_unstemmed | Treatment of a high-volume retroperitoneal lymphocele with obstructive hydronephrosis following lymph node dissection via combined intra-lymphocele retrograde lymphangiography with glue embolization and sclerotherapy |
| title_short | Treatment of a high-volume retroperitoneal lymphocele with obstructive hydronephrosis following lymph node dissection via combined intra-lymphocele retrograde lymphangiography with glue embolization and sclerotherapy |
| title_sort | treatment of a high volume retroperitoneal lymphocele with obstructive hydronephrosis following lymph node dissection via combined intra lymphocele retrograde lymphangiography with glue embolization and sclerotherapy |
| topic | Lymphocele Hydronephrosis Retrograde lymphangiography Embolization Sclerotherapy |
| url | http://www.sciencedirect.com/science/article/pii/S2214442024002493 |
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