title: Delayed complication of pelvic lymphocele: Ileal conduit obstruction.
abstract: Radical cystectomy is the standard treatment for muscle invasive bladder cancer. Lymphocele is a common sequalae of pelvic lymphadenectomy. We report an unusual presentation of pelvic lymphocele developing after radical cystectomy reconstructed with an ileal conduit where the patient developed obstruction of the ileal conduit loop due to external pressure of the lymphocele. Catheter drainage of the conduit relieved the symptoms and a computerized tomography scan showed a large lymphocele causing acute angulation and resultant obstruction of the ileal conduit. The patient was treated with percutaneous drainage of the lymphocele and remains symptom-free on follow-up at 1 year.
authors.affiliation: Department of Surgical Oncology, Tata Memorial Centre, Ernest Borges Marg, Parel, Mumbai, Maharashtra, India.
authors.forename: Sanket S
authors.initials: SS
authors.lastname: Bankar
authors.affiliation: Department of Surgical Oncology, Tata Memorial Centre, Ernest Borges Marg, Parel, Mumbai, Maharashtra, India.
authors.forename: Ganesh K
authors.initials: GK
authors.lastname: Bakshi
authors.affiliation: Department of Surgical Oncology, Tata Memorial Centre, Ernest Borges Marg, Parel, Mumbai, Maharashtra, India.
authors.forename: Gagan
authors.initials: G
authors.lastname: Prakash
authors.affiliation: Department of Radiology, Tata Memorial Centre, Ernest Borges Marg, Parel, Mumbai, Maharashtra, India.
authors.forename: Nilesh P
authors.initials: NP
authors.lastname: Sable
keywords: Ileal conduit; pelvic lymphadenectomy; percutaneous drainage