Prolonged lymphatic leak after retroperitoneal lymph node dissection: a case report.
BACKGROUND
Persistent lymphatic drainage following retroperitoneal lymph node dissection for testicular tumor is an uncommon complication.


METHODS
We describe a 21-year old man of Caucasian origin who had metastatic non-seminomatous germ cell tumor of the testis, and underwent retroperitoneal lymph node dissection, nephrectomy and partial inferior vena cava excision for a residual mass. The patient subsequently developed persistent lymphatic drainage causing foot drop that eventually responded to conservative medical and surgical measures.


CONCLUSIONS
This postoperative condition usually responds well to conservative measures but has the potential for serious morbidity if it is not managed appropriately.
Browne
Katherine M
KM
Department of Urology, Adelaide and Meath Hospitals Incorporating the National Children's Hospital Tallaght, Dublin 24 Ireland.
Casey
Rowan G
RG
Thornhill
John A
JA