Lipiodol-based Lymphangiography and Glue-based Embolization of Retroperitoneal Lymphatic Vessels to Treat Symptomatic Retroperitoneal Lymphocele: A Case Report

Nariman Nezami, Haddy Jarmakani, Angelo Marino, Todd Schlachter, Igor Latich, Rajasekhara Ayyagari and Juan Carlos Perez Lozada

Department of Radiology and Biomedical Imaging, Yale School of Medicine, USA

^*Correspondance to: Juan Carlos Perez Lozada 

 PDF  Full Text DOI: 10.25107/2474-1647.2131

Abstract

surgery. A number of procedures have been introduced to treat this entity, but none have been entirely successful. Here, we present a 67-year-old female diagnosed with stage III ovarian cancer who developed a retroperitoneal lymphocele after robotic hysterectomy, bilateral salpingooophorectomy, and tumor debulking. She had multiple unsuccessful sessions of sclerotherapy over two months. Eventually, the lymphatic vessels supplying the lymphocele were mapped by lipiodol injection in the inguinal lymph nodes and embolized withN-butyl-2-cyanoacrylate glue. This resulted in resolution of the lymphocele and symptoms. Lipiodol-based mapping and glue embolization of retroperitoneal lymphatic vessels is a safe and feasible procedure to treat retroperitoneal lymphoceles.

Keywords

Lymphocele; Retroperitoneal; Embolization; Glue; Lymph vessel; Lipiodol

Cite the article

Nezami N, Jarmakani H, Marino A, Schlachter T, Latich I, Ayyagari R, et al. Lipiodol-based Lymphangiography and Glue-based Embolization of Retroperitoneal Lymphatic Vessels to Treat Symptomatic Retroperitoneal Lymphocele: A Case Report. Clin Surg. 2018; 3: 2131.