Primary retroperitoneal lymphocele in a pregnant woman: the first report.
In a 32-year-old pregnant woman, routine ultrasonography revealed right hydronephrosis and a huge retroperitoneal mass (20 x 7 cm) containing a fluid collection. Percutaneous drainage of the mass was performed and 2 L of clear, yellowish fluid was collected. Four months following the delivery, a recurrent retroperitoneal lymphocele was identified. Six months after the delivery, laparoscopic marsupialization was performed through a 10-mm umbilical camera port and two 5-mm ports on the right side of the abdomen. A posterior peritoneal window was established by creating a wide opening in the anterior wall of the lymphocele. Subsequent ultrasonography did not indicate a recurrence of the lymphocele or right hydronephrosis over a follow-up period of 8 months.
Ikeda
Tetsuhiro
T
Department of Urology, Ehime University School of Medicine, Toon city, Ehime, Japan. cyt01032@nifty.com
Miyauchi
Yuuki
Y
Nishio
Shunji
S
Shimamoto
Kenji
K
Tanji
Nozomu
N
Yokoyama
Masayoshi
M
D000328:Adult; D003937:Diagnosis, Differential; D004322:Drainage / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D010535:Laparoscopy; D008210:Lymphocele / Q000175:diagnosis* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic; D011256:Pregnancy Outcome; D012187:Retroperitoneal Space; D014057:Tomography, X-Ray Computed