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CASE REPORT
Year : 2015  |  Volume : 31  |  Issue : 3  |  Page : 254-255

Delayed complication of pelvic lymphocele: Ileal conduit obstruction


1 Department of Surgical Oncology, Tata Memorial Centre, Ernest Borges Marg, Parel, Mumbai, Maharashtra, India
2 Department of Radiology, Tata Memorial Centre, Ernest Borges Marg, Parel, Mumbai, Maharashtra, India

Correspondence Address:
Dr. Ganesh K Bakshi
Uro-Oncology Services, Department of Surgical Oncology, Tata Memorial Centre, Ernest Borges Marg, Parel, Mumbai - 400 012, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-1591.159660

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Radical cystectomy is the standard treatment for muscle invasive bladder cancer. Lymphocele is a common sequalae of pelvic lymphadenectomy. We report an unusual presentation of pelvic lymphocele developing after radical cystectomy reconstructed with an ileal conduit where the patient developed obstruction of the ileal conduit loop due to external pressure of the lymphocele. Catheter drainage of the conduit relieved the symptoms and a computerized tomography scan showed a large lymphocele causing acute angulation and resultant obstruction of the ileal conduit. The patient was treated with percutaneous drainage of the lymphocele and remains symptom-free on follow-up at 1 year.


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