Postoperative lymphocele causing obturator nerve entrapment, treated with percutaneous drainage and intranodal poppyseed oil (Lipiodol)-based lymphangiography

Obturator nerve entrapment is a rare complication after pelvic surgery and is caused by a direct intraoperative injury or secondary to compression by a postoperative collection. We have presented the case of a 65-year-old man who had complained of right-sided medial groin pain 4 weeks after robot-as...

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Autores principales: Verhaeghe, Laurence, Van Holsbeeck, Andries, Kager, Joost, Ampe, Jozef, Mermuys, Koen, Maleux, Geert
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Case report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8556490/
https://www.ncbi.nlm.nih.gov/pubmed/34746534
http://dx.doi.org/10.1016/j.jvscit.2021.09.007
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author Verhaeghe, Laurence
Van Holsbeeck, Andries
Kager, Joost
Ampe, Jozef
Mermuys, Koen
Maleux, Geert
author_facet Verhaeghe, Laurence
Van Holsbeeck, Andries
Kager, Joost
Ampe, Jozef
Mermuys, Koen
Maleux, Geert
author_sort Verhaeghe, Laurence
collection PubMed
description Obturator nerve entrapment is a rare complication after pelvic surgery and is caused by a direct intraoperative injury or secondary to compression by a postoperative collection. We have presented the case of a 65-year-old man who had complained of right-sided medial groin pain 4 weeks after robot-assisted laparoscopic prostatectomy with bilateral pelvic lymphadenectomy. Pelvic magnetic resonance imaging showed bilateral lymphoceles with right-sided compression of the obturator nerve causing diffuse muscle edema in its innervation region. Percutaneous drainage and intranodal poppyseed oil (Lipiodol)-based lymphangiography led to a complete resolution of his symptoms.
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spelling pubmed-85564902021-11-05 Postoperative lymphocele causing obturator nerve entrapment, treated with percutaneous drainage and intranodal poppyseed oil (Lipiodol)-based lymphangiography Verhaeghe, Laurence Van Holsbeeck, Andries Kager, Joost Ampe, Jozef Mermuys, Koen Maleux, Geert J Vasc Surg Cases Innov Tech Case report Obturator nerve entrapment is a rare complication after pelvic surgery and is caused by a direct intraoperative injury or secondary to compression by a postoperative collection. We have presented the case of a 65-year-old man who had complained of right-sided medial groin pain 4 weeks after robot-assisted laparoscopic prostatectomy with bilateral pelvic lymphadenectomy. Pelvic magnetic resonance imaging showed bilateral lymphoceles with right-sided compression of the obturator nerve causing diffuse muscle edema in its innervation region. Percutaneous drainage and intranodal poppyseed oil (Lipiodol)-based lymphangiography led to a complete resolution of his symptoms. Elsevier 2021-10-02 /pmc/articles/PMC8556490/ /pubmed/34746534 http://dx.doi.org/10.1016/j.jvscit.2021.09.007 Text en © 2021 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Case report
Verhaeghe, Laurence
Van Holsbeeck, Andries
Kager, Joost
Ampe, Jozef
Mermuys, Koen
Maleux, Geert
Postoperative lymphocele causing obturator nerve entrapment, treated with percutaneous drainage and intranodal poppyseed oil (Lipiodol)-based lymphangiography
title Postoperative lymphocele causing obturator nerve entrapment, treated with percutaneous drainage and intranodal poppyseed oil (Lipiodol)-based lymphangiography
title_full Postoperative lymphocele causing obturator nerve entrapment, treated with percutaneous drainage and intranodal poppyseed oil (Lipiodol)-based lymphangiography
title_fullStr Postoperative lymphocele causing obturator nerve entrapment, treated with percutaneous drainage and intranodal poppyseed oil (Lipiodol)-based lymphangiography
title_full_unstemmed Postoperative lymphocele causing obturator nerve entrapment, treated with percutaneous drainage and intranodal poppyseed oil (Lipiodol)-based lymphangiography
title_short Postoperative lymphocele causing obturator nerve entrapment, treated with percutaneous drainage and intranodal poppyseed oil (Lipiodol)-based lymphangiography
title_sort postoperative lymphocele causing obturator nerve entrapment, treated with percutaneous drainage and intranodal poppyseed oil (lipiodol)-based lymphangiography
topic Case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8556490/
https://www.ncbi.nlm.nih.gov/pubmed/34746534
http://dx.doi.org/10.1016/j.jvscit.2021.09.007
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