Fried A M, Williams C B, Litvak A S
J Urol. 1980 Apr;123(4):583-4. doi: 10.1016/s0022-5347(17)56030-9.
A case of a mid lumbar lymphocele secondary to retroperitoneal lymphadenectomy for testicular carcinoma is described. The clinical picture was unusual and confusing in that the symptoms were gastrointestinal in nature. Ultrasound provided the diagnosis and guidance for aspiration. Although the most common operative source of lymphocele formation appears to be the pelvic lymphatics similar collections may arise from para-aortic and renal hilar dissections and produce unusual manifestations. Ultrasound is of established value in such cases.
本文描述了一例因睾丸癌行腹膜后淋巴结清扫术后继发中腰部淋巴管瘤的病例。临床表现不寻常且令人困惑,因为症状本质上是胃肠道方面的。超声检查为诊断和穿刺抽吸提供了指导。虽然淋巴管瘤形成最常见的手术来源似乎是盆腔淋巴管,但类似的积液也可能源于腹主动脉旁和肾门部的解剖,并产生不寻常的表现。超声检查在这类病例中具有确定的价值。