Postoperative lymphocele causing obturator nerve entrapment, treated with percutaneous drainage and intranodal poppyseed oil (Lipiodol)-based lymphangiography

Autor: Laurence Verhaeghe, MD, Andries Van Holsbeeck, MD, Joost Kager, MD, Jozef Ampe, MD, Koen Mermuys, MD, Geert Maleux, MD, PhD
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Journal of Vascular Surgery Cases and Innovative Techniques, Vol 7, Iss 4, Pp 698-700 (2021)
Druh dokumentu: article
ISSN: 2468-4287
DOI: 10.1016/j.jvscit.2021.09.007
Popis: Obturator nerve entrapment is a rare complication after pelvic surgery and is caused by a direct intraoperative injury or secondary to compression by a postoperative collection. We have presented the case of a 65-year-old man who had complained of right-sided medial groin pain 4 weeks after robot-assisted laparoscopic prostatectomy with bilateral pelvic lymphadenectomy. Pelvic magnetic resonance imaging showed bilateral lymphoceles with right-sided compression of the obturator nerve causing diffuse muscle edema in its innervation region. Percutaneous drainage and intranodal poppyseed oil (Lipiodol)-based lymphangiography led to a complete resolution of his symptoms.
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