Complex space of Retzius lymphocele resulting in iliac compression and submassive pulmonary embolism after robotic Retzius sparing prostatectomy

Urology Case Reports

Tamir Sholklapper¹  Christopher P. Dall²  Keith Kowalczyk²  Jacob Brems³  Charlotte C. Goldman³ 

[1] Corresponding author. MedStar Georgetown University Hospital, 3800 Reservoir Road, Department of Urology, Fourth Floor, Washington, DC, 20007, USA.;Department of Urology, MedStar Washington Hospital Center, Washington, DC, USA;Department of Urology, MedStar Georgetown University Hospital, Washington, DC, USA;

关键词: Lymphocele;    Retzius sparing;    Prostatectomy;    Pulmonary embolism;   

DOI  :  

来源: DOAJ

【 摘 要 】

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.

【 授权许可】

Unknown