Unusual lymphocele following radical cystectomy with orthotopic neobladder
A 65-year-old male patient, a known case of carcinoma bladder, underwent radical cystectomy with ileal neobladder in 2016. Eleven lymph nodes were identified in the specimen. Histopathology revealed reactive lymphadenitis with sinus histiocytosis. The patient presented with a swelling in the right t...
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Wolters Kluwer Medknow Publications
2019-01-01
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doaj-8ff8fc711b3040bfb768b88630905dd82020-11-24T21:35:54ZengWolters Kluwer Medknow PublicationsIndian Journal of Urology0970-15911998-38242019-01-0135216816910.4103/iju.IJU_284_18Unusual lymphocele following radical cystectomy with orthotopic neobladderSenthil KallappanRamalingam ManickamSivasankaran NachimuthuThilak GanesapandiA 65-year-old male patient, a known case of carcinoma bladder, underwent radical cystectomy with ileal neobladder in 2016. Eleven lymph nodes were identified in the specimen. Histopathology revealed reactive lymphadenitis with sinus histiocytosis. The patient presented with a swelling in the right thigh, associated with dull pain, about 6 months after the procedure. Ultrasound of the right thigh and computed tomography of the region showed an isolated, large, loculated, cystic collection measuring 15 cm × 6 cm with internal septation in the pectineus and adductor longus muscles. Complete aspiration of fluid from the right thigh was done with ultrasound guidance and sent for analysis. The fluid appeared to be lymph, and the lesion turned out to be a lymphocele. There was no recurrence or infection following the aspiration till last follow-up visit. We report this rare lymphocele presentation (in the thigh without any extension from pelvis or groin) after 6 months, following radical cystectomy with neobladder, which was treated by one-time aspiration.http://www.indianjurol.com/article.asp?issn=0970-1591;year=2019;volume=35;issue=2;spage=168;epage=169;aulast=Kallappan |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Senthil Kallappan Ramalingam Manickam Sivasankaran Nachimuthu Thilak Ganesapandi |
spellingShingle |
Senthil Kallappan Ramalingam Manickam Sivasankaran Nachimuthu Thilak Ganesapandi Unusual lymphocele following radical cystectomy with orthotopic neobladder Indian Journal of Urology |
author_facet |
Senthil Kallappan Ramalingam Manickam Sivasankaran Nachimuthu Thilak Ganesapandi |
author_sort |
Senthil Kallappan |
title |
Unusual lymphocele following radical cystectomy with orthotopic neobladder |
title_short |
Unusual lymphocele following radical cystectomy with orthotopic neobladder |
title_full |
Unusual lymphocele following radical cystectomy with orthotopic neobladder |
title_fullStr |
Unusual lymphocele following radical cystectomy with orthotopic neobladder |
title_full_unstemmed |
Unusual lymphocele following radical cystectomy with orthotopic neobladder |
title_sort |
unusual lymphocele following radical cystectomy with orthotopic neobladder |
publisher |
Wolters Kluwer Medknow Publications |
series |
Indian Journal of Urology |
issn |
0970-1591 1998-3824 |
publishDate |
2019-01-01 |
description |
A 65-year-old male patient, a known case of carcinoma bladder, underwent radical cystectomy with ileal neobladder in 2016. Eleven lymph nodes were identified in the specimen. Histopathology revealed reactive lymphadenitis with sinus histiocytosis. The patient presented with a swelling in the right thigh, associated with dull pain, about 6 months after the procedure. Ultrasound of the right thigh and computed tomography of the region showed an isolated, large, loculated, cystic collection measuring 15 cm × 6 cm with internal septation in the pectineus and adductor longus muscles. Complete aspiration of fluid from the right thigh was done with ultrasound guidance and sent for analysis. The fluid appeared to be lymph, and the lesion turned out to be a lymphocele. There was no recurrence or infection following the aspiration till last follow-up visit. We report this rare lymphocele presentation (in the thigh without any extension from pelvis or groin) after 6 months, following radical cystectomy with neobladder, which was treated by one-time aspiration. |
url |
http://www.indianjurol.com/article.asp?issn=0970-1591;year=2019;volume=35;issue=2;spage=168;epage=169;aulast=Kallappan |
work_keys_str_mv |
AT senthilkallappan unusuallymphocelefollowingradicalcystectomywithorthotopicneobladder AT ramalingammanickam unusuallymphocelefollowingradicalcystectomywithorthotopicneobladder AT sivasankarannachimuthu unusuallymphocelefollowingradicalcystectomywithorthotopicneobladder AT thilakganesapandi unusuallymphocelefollowingradicalcystectomywithorthotopicneobladder |
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