Lymphocele

Case contributed by Suresh Babu Boddapati
Diagnosis certain

Presentation

Lower abdominal pain, dysuria. History of prostatectomy ~6-8 weeks ago.

Patient Data

Age: 65 years
Gender: Male
ct

Bilateral simple-appearing pelvic fluid collections in the region of the external iliac vessels, consistent with bilateral lymphoceles.

Status post prostatectomy.

Mild circumferential mural thickening of the urinary bladder is nonspecific. This could reflect cystitis in the appropriate clinical setting.

Case Discussion

Lymphoceles are a common complication of prostatectomy with lymph node dissection.

They can cause mass effect on the bladder.

Typical location and surgical history helps in making the diagnosis.

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