tailieunhanh - Báo cáo y học: " Prolonged lymphatic leak after retroperitoneal lymph node dissection: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài:Prolonged lymphatic leak after retroperitoneal lymph node dissection: a case report | JOURNAL OF MEDICAL Sr CASE REPORTS Open Access Case report Prolonged lymphatic leak after retroperitoneal lymph node dissection a case report Katherine M Browne Rowan G Casey and John A Thornhill Address Department of Urology Adelaide and Meath Hospitals Incorporating the National Children s Hospital Tallaght Dublin 24 Ireland Email KMB - katheribrowne@ RGC - rcasey@ JAT - Corresponding author Received 14 September 2008 Accepted 24 March 2009 Published 12 August 2009 Journal ofMedical Case Reports 2009 3 8704 doi 1752-1947-3-8704 This article is available from http jmedicalcasereports article view 8704 2009 Browne et al. licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract 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. Introduction Persistent lymphatic fluid leakage is a rare complication of retroperitoneal lymph node dissection but has been described following a variety of vascular 1 2 gynaecological 3 and urological 4 procedures. It occurs due to disruption of the retroperitoneal .