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术后淋巴管囊肿导致闭孔神经受压,采用经皮引流及基于罂粟籽油(碘油)的淋巴结造影术进行治疗。

Postoperative lymphocele causing obturator nerve entrapment, treated with percutaneous drainage and intranodal poppyseed oil (Lipiodol)-based lymphangiography.

作者信息

Verhaeghe Laurence, Van Holsbeeck Andries, Kager Joost, Ampe Jozef, Mermuys Koen, Maleux Geert

机构信息

Department of Radiology, University Hospitals Leuven, Leuven, Belgium.

Department of Radiology, AZ Sint-Jan Bruges Hospitals, Bruges, Belgium.

出版信息

J Vasc Surg Cases Innov Tech. 2021 Oct 2;7(4):698-700. doi: 10.1016/j.jvscit.2021.09.007. eCollection 2021 Dec.

DOI:10.1016/j.jvscit.2021.09.007
PMID:34746534
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8556490/
Abstract

Obturator nerve entrapment is a rare complication after pelvic surgery and is caused by a direct intraoperative injury or secondary to compression by a postoperative collection. We have presented the case of a 65-year-old man who had complained of right-sided medial groin pain 4 weeks after robot-assisted laparoscopic prostatectomy with bilateral pelvic lymphadenectomy. Pelvic magnetic resonance imaging showed bilateral lymphoceles with right-sided compression of the obturator nerve causing diffuse muscle edema in its innervation region. Percutaneous drainage and intranodal poppyseed oil (Lipiodol)-based lymphangiography led to a complete resolution of his symptoms.

摘要

闭孔神经卡压是盆腔手术后一种罕见的并发症,由术中直接损伤或术后积液压迫所致。我们报告了一例65岁男性患者,他在机器人辅助腹腔镜前列腺切除术加双侧盆腔淋巴结清扫术后4周出现右侧腹股沟内侧疼痛。盆腔磁共振成像显示双侧淋巴囊肿,右侧闭孔神经受压,导致其支配区域弥漫性肌肉水肿。经皮引流和基于罂粟籽油(碘油)的淋巴结造影使他的症状完全缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6790/8556490/76b1d94c536b/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6790/8556490/91978b473e2e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6790/8556490/2951a3d34cab/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6790/8556490/76b1d94c536b/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6790/8556490/91978b473e2e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6790/8556490/2951a3d34cab/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6790/8556490/76b1d94c536b/gr3.jpg

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Back to the Future: Lipiodol in Lymphography-From Diagnostics to Theranostics.重回未来:碘油淋巴造影术——从诊断到治疗学。
Invest Radiol. 2019 Sep;54(9):600-615. doi: 10.1097/RLI.0000000000000578.
2
Lymphatic interventions for isolated, iatrogenic chylous ascites: A multi-institution experience.孤立性、医源性乳糜性腹水的淋巴介入治疗:多机构经验。
Eur J Radiol. 2018 Dec;109:41-47. doi: 10.1016/j.ejrad.2018.10.019. Epub 2018 Oct 25.
3
Delayed bilateral obturator nerve injury due to compressing bilateral pelvic lymphoceles after robot-assisted laparoscopic radical prostatectomy and bilateral lymphadenectomy for prostatic carcinoma.
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4
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J Vasc Interv Radiol. 2016 Aug;27(8):1177-1186.e1. doi: 10.1016/j.jvir.2016.05.011. Epub 2016 Jul 1.
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