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Complex space of Retzius lymphocele resulting in iliac compression and submassive pulmonary embolism after robotic Retzius sparing prostatectomy
- Source :
- Urology Case Reports, Vol 36, Iss, Pp 101598-(2021), Urology Case Reports
- Publication Year :
- 2021
- Publisher :
- Elsevier, 2021.
-
Abstract
- Lymphoceles are common following prostatectomy with lymph node dissection, but the vast majority are asymptomatic. We present a unique case of a large complex lymphocele tracking into the anterior space of Retzius following Retzius sparing prostatectomy and bilateral pelvic lymphadenectomy. The patient initially presented with shortness of breath and subsequent diagnosis of a submassive pulmonary embolism. Further evaluation revealed compression of the iliac vessels by the fluid collection. Following multiple failed attempts of drainage percutaneously, the patient required return to the operating room for peritoneal marsupialization, drainage of fluid collection, and evacuation of large amounts of clot within the collection.
- Subjects :
- Retzius sparing
medicine.medical_specialty
Urology
medicine.medical_treatment
Lymphocele
GG, Grade group
030232 urology & nephrology
Dissection (medical)
lcsh:RC870-923
Asymptomatic
LND, Lymph node dissection
03 medical and health sciences
0302 clinical medicine
Medicine
Pelvic lymphadenectomy
Lymph node
Prostatectomy
IR, Interventional radiology
business.industry
Pulmonary embolism
Marsupialization
medicine.disease
lcsh:Diseases of the genitourinary system. Urology
Surgery
medicine.anatomical_structure
Oncology
030220 oncology & carcinogenesis
PE, pulmonary embolism
CT, Computed tomography
RS-RARP, robotic-assisted laparoscopic Retzius-sparing radical prostatectomy
medicine.symptom
business
Subjects
Details
- Language :
- English
- ISSN :
- 22144420
- Volume :
- 36
- Database :
- OpenAIRE
- Journal :
- Urology Case Reports
- Accession number :
- edsair.doi.dedup.....96d5f73cd6faed87e9389888932255f9