Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
8825287 | Radiology Case Reports | 2017 | 4 Pages |
Abstract
A lymphocele is one of the complications of systematic pelvic or para-aortic lymphadenectomy. Although most patients are entirely asymptomatic, our patient exhibited an obstructive ileus at the jejunum compressed by a lymphocele. We report here a case of a subsequent para-aortic lymphocele treated with autologous peripheral blood injection. A 68-year-old woman with sigmoid colon cancer (T3N2bM1a) underwent laparoscopic sigmoidectomy. After 4 courses of chemotherapy (CapeOXâ+âBmab), para-aortic lymphadenectomy was additionally performed. One month later, an obstructive ileus occurred suddenly due to a lymphocele. A drainage catheter was placed into the lymphocele and a total of 35Â mL of autologous peripheral blood was injected in 4 divided doses through the catheter. The volume of the lymphocele gradually reduced and the ileus improved after blood injection. This is the first report of a successful case of a subsequent para-aortic lymphocele treated with autologous peripheral blood injection without any complications.
Related Topics
Health Sciences
Medicine and Dentistry
Radiology and Imaging
Authors
Keiji MD, Tomohiro MD, PhD, Masayoshi MD, PhD, Yoshiaki MD, PhD, Yasutoshi MD, PhD, Katsutoshi MD, PhD, Toshiyuki MD, PhD, Hirotaka MD, PhD, Ryo MD, PhD, Shuhei MD, PhD, Atsushi MD, PhD, Hisashi MD, PhD, Daisuke MD, PhD, Hitoshi MD, PhD, Kazuma MD, PhD,