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Complex space of Retzius lymphocele resulting in iliac compression and submassive pulmonary embolism after robotic Retzius sparing prostatectomy
Lymphoceles are common following prostatectomy with lymph node dissection, but the vast majority are asymptomatic. We present a unique case of a large complex lymphocele tracking into the anterior space of Retzius following Retzius sparing prostatectomy and bilateral pelvic lymphadenectomy. The pati...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7890136/ https://www.ncbi.nlm.nih.gov/pubmed/33659187 http://dx.doi.org/10.1016/j.eucr.2021.101598 |
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author | Goldman, Charlotte C. Dall, Christopher P. Sholklapper, Tamir Brems, Jacob Kowalczyk, Keith |
author_facet | Goldman, Charlotte C. Dall, Christopher P. Sholklapper, Tamir Brems, Jacob Kowalczyk, Keith |
author_sort | Goldman, Charlotte C. |
collection | PubMed |
description | Lymphoceles are common following prostatectomy with lymph node dissection, but the vast majority are asymptomatic. We present a unique case of a large complex lymphocele tracking into the anterior space of Retzius following Retzius sparing prostatectomy and bilateral pelvic lymphadenectomy. The patient initially presented with shortness of breath and subsequent diagnosis of a submassive pulmonary embolism. Further evaluation revealed compression of the iliac vessels by the fluid collection. Following multiple failed attempts of drainage percutaneously, the patient required return to the operating room for peritoneal marsupialization, drainage of fluid collection, and evacuation of large amounts of clot within the collection. |
format | Online Article Text |
id | pubmed-7890136 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-78901362021-03-02 Complex space of Retzius lymphocele resulting in iliac compression and submassive pulmonary embolism after robotic Retzius sparing prostatectomy Goldman, Charlotte C. Dall, Christopher P. Sholklapper, Tamir Brems, Jacob Kowalczyk, Keith Urol Case Rep Oncology Lymphoceles are common following prostatectomy with lymph node dissection, but the vast majority are asymptomatic. We present a unique case of a large complex lymphocele tracking into the anterior space of Retzius following Retzius sparing prostatectomy and bilateral pelvic lymphadenectomy. The patient initially presented with shortness of breath and subsequent diagnosis of a submassive pulmonary embolism. Further evaluation revealed compression of the iliac vessels by the fluid collection. Following multiple failed attempts of drainage percutaneously, the patient required return to the operating room for peritoneal marsupialization, drainage of fluid collection, and evacuation of large amounts of clot within the collection. Elsevier 2021-02-04 /pmc/articles/PMC7890136/ /pubmed/33659187 http://dx.doi.org/10.1016/j.eucr.2021.101598 Text en © 2021 The Authors. Published by Elsevier Inc. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Oncology Goldman, Charlotte C. Dall, Christopher P. Sholklapper, Tamir Brems, Jacob Kowalczyk, Keith Complex space of Retzius lymphocele resulting in iliac compression and submassive pulmonary embolism after robotic Retzius sparing prostatectomy |
title | Complex space of Retzius lymphocele resulting in iliac compression and submassive pulmonary embolism after robotic Retzius sparing prostatectomy |
title_full | Complex space of Retzius lymphocele resulting in iliac compression and submassive pulmonary embolism after robotic Retzius sparing prostatectomy |
title_fullStr | Complex space of Retzius lymphocele resulting in iliac compression and submassive pulmonary embolism after robotic Retzius sparing prostatectomy |
title_full_unstemmed | Complex space of Retzius lymphocele resulting in iliac compression and submassive pulmonary embolism after robotic Retzius sparing prostatectomy |
title_short | Complex space of Retzius lymphocele resulting in iliac compression and submassive pulmonary embolism after robotic Retzius sparing prostatectomy |
title_sort | complex space of retzius lymphocele resulting in iliac compression and submassive pulmonary embolism after robotic retzius sparing prostatectomy |
topic | Oncology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7890136/ https://www.ncbi.nlm.nih.gov/pubmed/33659187 http://dx.doi.org/10.1016/j.eucr.2021.101598 |
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