Nakano Masahiro, Miwa Kousei, Kanimoto Yusuke
Department of Urology, Kakegawa Municipal Hospital.
Hinyokika Kiyo. 2003 Jul;49(7):419-21.
Symptomatic lymphocele presented after pelvic lymphadenectomy for localized carcinoma of the prostate is a relatively rare complication. We treated a case of infected lymphocele presenting 4 months after a limited staging pelvic lymphadenectomy and a radical prostatectomy for adenocarcinoma of the prostate. The patient was a 70-year-old Japanese man having the chief complaint of fever, right lower abdominal pain, nausea and vomiting. Pelvic computed tomography showed a 14 cm cystic mass with a thick capsule on the right iliopsoas muscle. It was suspected to be an infected lymphocele. After percutaneous drainage, sclerotherapy (povidone iodine, minocycline and ethanol) and antibiotic drugs, the infected lymphocele was resolved.
前列腺局限性癌盆腔淋巴结清扫术后出现的有症状性淋巴囊肿是一种相对罕见的并发症。我们治疗了一例感染性淋巴囊肿病例，该患者在因前列腺腺癌行有限分期盆腔淋巴结清扫术和根治性前列腺切除术后4个月出现此症状。患者为一名70岁的日本男性，主要症状为发热、右下腹痛、恶心和呕吐。盆腔计算机断层扫描显示右髂腰肌上有一个14厘米的囊性肿块，有厚包膜。怀疑是感染性淋巴囊肿。经皮引流、硬化治疗（聚维酮碘、米诺环素和乙醇）及使用抗生素药物后，感染性淋巴囊肿得以消退。
