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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Main Authors: Sanket S Bankar, Ganesh K Bakshi, Gagan Prakash, Nilesh P Sable
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-01-01
Series:Indian Journal of Urology
Subjects:
Online Access:http://www.indianjurol.com/article.asp?issn=0970-1591;year=2015;volume=31;issue=3;spage=254;epage=255;aulast=Bankar
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author Sanket S Bankar
Ganesh K Bakshi
Gagan Prakash
Nilesh P Sable
author_facet Sanket S Bankar
Ganesh K Bakshi
Gagan Prakash
Nilesh P Sable
author_sort Sanket S Bankar
collection DOAJ
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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spelling doaj.art-34e64e9daed9400886172d9113b101642022-12-21T23:01:46ZengWolters Kluwer Medknow PublicationsIndian Journal of Urology0970-15911998-38242015-01-0131325425510.4103/0970-1591.159660Delayed complication of pelvic lymphocele: Ileal conduit obstructionSanket S BankarGanesh K BakshiGagan PrakashNilesh P SableRadical 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.http://www.indianjurol.com/article.asp?issn=0970-1591;year=2015;volume=31;issue=3;spage=254;epage=255;aulast=BankarIleal conduitpelvic lymphadenectomypercutaneous drainage
spellingShingle Sanket S Bankar
Ganesh K Bakshi
Gagan Prakash
Nilesh P Sable
Delayed complication of pelvic lymphocele: Ileal conduit obstruction
Indian Journal of Urology
Ileal conduit
pelvic lymphadenectomy
percutaneous drainage
title Delayed complication of pelvic lymphocele: Ileal conduit obstruction
title_full Delayed complication of pelvic lymphocele: Ileal conduit obstruction
title_fullStr Delayed complication of pelvic lymphocele: Ileal conduit obstruction
title_full_unstemmed Delayed complication of pelvic lymphocele: Ileal conduit obstruction
title_short Delayed complication of pelvic lymphocele: Ileal conduit obstruction
title_sort delayed complication of pelvic lymphocele ileal conduit obstruction
topic Ileal conduit
pelvic lymphadenectomy
percutaneous drainage
url http://www.indianjurol.com/article.asp?issn=0970-1591;year=2015;volume=31;issue=3;spage=254;epage=255;aulast=Bankar
work_keys_str_mv AT sanketsbankar delayedcomplicationofpelviclymphoceleilealconduitobstruction
AT ganeshkbakshi delayedcomplicationofpelviclymphoceleilealconduitobstruction
AT gaganprakash delayedcomplicationofpelviclymphoceleilealconduitobstruction
AT nileshpsable delayedcomplicationofpelviclymphoceleilealconduitobstruction