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Postoperative pelvic lymphocele

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

History of endometrial cancer FIGO -Ia underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy 3 months ago.

Patient Data

Age: 65 years
Gender: Female

Fluid equivalent signal cystic structure measuring 4.5 x 5 x 6 cm between left iliac vessels and urinary bladder, consistent with lymphocele.

No evidence of local recurrence.

Case Discussion

Lymphoceles are collections of lymphatic fluid that happen most frequently in the postoperative setting. Although they can occur in potentially any part of the body where lymphatic tissue is resected (e.g. lymphadenectomy) or injured in trauma, they are most commonly seen in the retroperitoneum.

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