Prolonged lymphatic leak after retroperitoneal lymph node dissection: a case report

INTRODUCTION: Persistent lymphatic drainage following retroperitoneal lymph node dissection for testicular tumor is an uncommon complication. CASE PRESENTATION: 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. CONCLUSION: This postoperative condition usually responds well to conservative measures but has the potential for serious morbidity if it is not managed appropriately.