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Case Reports
. 2017:2017:3935082.
doi: 10.1155/2017/3935082. Epub 2017 Mar 15.

Delayed Infection of a Lymphocele following RARP in a Patient with Nonspecific Symptoms

Tomoki Taniguchi  1 , Yoshito Takahashi  1 , Mitsuhiro Taniguchi  1 , Toru Yamada  1 , Kenichiro Ishida  1
Affiliations
Case Reports

Delayed Infection of a Lymphocele following RARP in a Patient with Nonspecific Symptoms

Tomoki Taniguchi et al. Case Rep Urol. 2017.

Abstract

Pelvic lymphoceles are an infrequent complication after pelvic surgery and develop shortly after the surgery in most cases. We experienced a case of delayed infection of a lymphocele 6 months after robot-assisted radical prostatectomy (RARP) and pelvic lymphadenectomy. In this case, antimicrobial chemotherapy and percutaneous drainage were effective, and there was no recurrence of the disease. Most urologists do not recognize that infected lymphoceles can develop a long time after surgery; thus, infected lymphoceles should be kept in mind in patients with nonspecific infectious symptoms, regardless of the length of time after surgery.

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Figures

Figure 1
Figure 1
CT scan shows an 80 mm cystic lesion displacing the urinary bladder 6 months after the surgery.
Figure 2
Figure 2
The treatment course.
Figure 3
Figure 3
CT scan shows reduction of the lymphocele few days after clamping.
See this image and copyright information in PMC

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References

    1. Zorn K. C., Katz M. H., Bernstein A., et al. Pelvic lymphadenectomy during robot-assisted radical prostatectomy: assessing nodal yield, perioperative outcomes, and complications. Urology. 2009;74(2):296–302. doi: 10.1016/j.urology.2009.01.077. - DOI - PubMed
    1. Tremp M., Sulser T., Seifert H.-H. Delayed infection of a pelvic lymphocele following robotic radical prostatectomy and pelvic lymphadenectomy: two cases. Urologia Internationalis. 2009;83(4):479–481. doi: 10.1159/000251192. - DOI - PubMed
    1. Naselli A., Andreatta R., Introini C., Fontana V., Puppo P. Predictors of symptomatic lymphocele after lymph node excision and radical prostatectomy. Urology. 2010;75(3):630–635. doi: 10.1016/j.urology.2009.03.011. - DOI - PubMed
    1. Raheem O. A., Bazzi W. M., Parsons J. K., Kane C. J. Management of pelvic lymphoceles following robot-assisted laparoscopic radical prostatectomy. Urology Annals. 2012;4(2):111–114. doi: 10.4103/0974-7796.95564. - DOI - PMC - PubMed
    1. Keskin M. S., Argun Ö. B., Öbek C., et al. The incidence and sequela of lymphocele formation after robot-assisted extended pelvic lymph node dissection. BJU International. 2016;118(1):127–131. doi: 10.1111/bju.13425. - DOI - PubMed

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