Mikou F, Elkarroumi M, Sefrioui O, Morsad F, Ghazli M, Matar N, Moumen M
Service de Gynécologie-Obstétrique B, Maternité Lalla Meryem, CHU Ibn Rochd, Casablanca, Maroc.
J Gynecol Obstet Biol Reprod (Paris). 2002 Dec;31(8):779-82.
Lymphadenectomy for pelvic cancer can lead to complications, particularly lymphocele. We report a case of pelvic lymphocele, which occurred in a patient who underwent surgery for stage IIa cervical carcinoma after preoperative radiotherapy. The intervention consisted in colpohysterectomy, with lymphadenectomy without peritonisation. Five months later she developed dysuria and pelvic pain. Ultrasound and computed tomography showed a pelvic lymphocele complicated by renal insufficiency. Kidney function was re-established after intraperitoneal marsupialisation. One year later the patient was in good clinical condition with no disorder of kidney function.
盆腔癌淋巴结清扫术可导致并发症，尤其是淋巴囊肿。我们报告一例盆腔淋巴囊肿病例，该病例发生在一名接受术前放疗后行IIa期宫颈癌手术的患者身上。手术包括经阴道子宫切除术及未行腹膜化的淋巴结清扫术。五个月后，她出现排尿困难和盆腔疼痛。超声和计算机断层扫描显示盆腔淋巴囊肿并伴有肾功能不全。经腹膜开窗术后肾功能得以恢复。一年后，患者临床状况良好，肾功能无异常。
