Bleomycin Sclerotherapy for Severe Symptomatic and Persistent Pelvic Lymphocele

Background. Pelvic lymphoceles are frequently described as a complication of pelvic lymphadenectomy performed for surgical staging of gynaecologic malignancies. Case Report. A 72-year-old woman presented with severe symptomatic and refractory lymphocele associated with persistent lower limb lymphede...

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Veröffentlicht in:Case reports in obstetrics and gynecology 2014-01, Vol.2014 (2014), p.1-8
Hauptverfasser: Fernandes, Ana Sofia, Costa, Antónia, Mota, Raquel, Paiva, Vera
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Sprache:eng
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Zusammenfassung:Background. Pelvic lymphoceles are frequently described as a complication of pelvic lymphadenectomy performed for surgical staging of gynaecologic malignancies. Case Report. A 72-year-old woman presented with severe symptomatic and refractory lymphocele associated with persistent lower limb lymphedema and recurrent erysipelas. After four CT fluoroscopy scan guided percutaneous catheter drainages, the lymphocele complicated with infection finally resolved with two sessions of bleomycin sclerotherapy. Conclusion. Symptomatic persistent lymphoceles require treatment and nowadays the first option is interventional radiologic procedures. Bleomycin is a safe and effective sclerosing agent and therefore should be regarded as a first-line treatment choice.
ISSN:2090-6684
2090-6692
DOI:10.1155/2014/624803