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感染性盆腔淋巴囊肿与乙状结肠之间形成瘘管:盆腔淋巴结清扫术的一种罕见并发症。

Fistula formation between infected pelvic lymphocele and sigmoid colon: A rare complication of pelvic lymphadenectomy.

作者信息

Allioui Soukaina, Sninate Sanae, Jerguigue Hounayda, Latib Rachida, Omor Youssef

机构信息

Radiology Department, National Institute of Oncology, Mohammed V University in Rabat, Rabat, Morocco.

出版信息

Radiol Case Rep. 2021 Jan 12;16(3):707-709. doi: 10.1016/j.radcr.2021.01.001. eCollection 2021 Mar.

DOI:10.1016/j.radcr.2021.01.001
PMID:33488904
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7807091/
Abstract

Lymphocele formation following pelvic lymphadenectomy is a well-known complication. In this article, we report a 56 years old female patient with a pelvic infected lymphocele fistulised in the sigmoid discovered in imaging 2 months after pelvic surgery. Lymphocele complications are rare and their diagnosis is based on imaging. However, lymphocele as a potential cause for fistula in the bowel as a particular new case has not been found in literature search.

摘要

盆腔淋巴结清扫术后淋巴囊肿形成是一种众所周知的并发症。在本文中,我们报告了一名56岁女性患者,她在盆腔手术后2个月的影像学检查中发现盆腔感染性淋巴囊肿与乙状结肠形成瘘管。淋巴囊肿并发症较为罕见,其诊断基于影像学检查。然而,在文献检索中未发现淋巴囊肿作为肠道瘘管潜在病因这一特殊新病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12e5/7807091/50ca4c2eaef7/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12e5/7807091/c2ed73be0e73/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12e5/7807091/c96c4eb4772d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12e5/7807091/50ca4c2eaef7/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12e5/7807091/c2ed73be0e73/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12e5/7807091/c96c4eb4772d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12e5/7807091/50ca4c2eaef7/gr3.jpg

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本文引用的文献

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Risk factors, complications and management of lymphocele formation after radical prostatectomy: A mini-review.根治性前列腺切除术后淋巴囊肿形成的危险因素、并发症及处理:小型综述。
Int J Urol. 2019 Jul;26(7):711-716. doi: 10.1111/iju.13964. Epub 2019 Apr 2.
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Risk factors and a prediction model for lower limb lymphedema following lymphadenectomy in gynecologic cancer: a hospital-based retrospective cohort study.妇科癌症淋巴结清扫术后下肢淋巴水肿的危险因素及预测模型:一项基于医院的回顾性队列研究。
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Delayed Infection of a Lymphocele following RARP in a Patient with Nonspecific Symptoms.
一名有非特异性症状的患者在机器人辅助根治性前列腺切除术后迟发性淋巴囊肿感染
Case Rep Urol. 2017;2017:3935082. doi: 10.1155/2017/3935082. Epub 2017 Mar 15.
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Delayed complication of pelvic lymphocele: Ileal conduit obstruction.盆腔淋巴囊肿的延迟并发症:回肠膀胱通道梗阻。
Indian J Urol. 2015 Jul-Sep;31(3):254-5. doi: 10.4103/0970-1591.159660.
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Lymphadenectomy for bladder cancer: indications and controversies.膀胱癌淋巴结切除术:适应证和争议。
Urol Clin North Am. 2011 Nov;38(4):397-405, v. doi: 10.1016/j.ucl.2011.07.011.
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Lymphoceles, lymphorrhea, and lymphedema after laparoscopic and open endometrial cancer staging.腹腔镜和开腹子宫内膜癌分期手术后的淋巴囊肿、淋巴漏和淋巴水肿。
Ann Surg Oncol. 2012 Jan;19(1):259-67. doi: 10.1245/s10434-011-1854-5. Epub 2011 Jun 22.
7
An analysis of the risk factors and management of lymphocele after pelvic lymphadenectomy in patients with gynecologic malignancies.分析妇科恶性肿瘤患者盆腔淋巴结清扫术后淋巴囊肿的危险因素及处理方法。
Cancer Res Treat. 2004 Dec;36(6):377-83. doi: 10.4143/crt.2004.36.6.377. Epub 2004 Dec 31.
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Radiographics. 2009 Mar-Apr;29(2):461-76. doi: 10.1148/rg.292085146.
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[Post-operative fibrosis: pathophysiological aspects and therapeutical perspectives].[术后纤维化:病理生理学方面及治疗前景]
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