Bleomycin Sclerotherapy for Severe Symptomatic and Persistent Pelvic Lymphocele

Background. Pelvic lymphoceles are frequently described as a complication of pelvic lymphadenectomy performed for surgical staging of gynaecologic malignancies. Case Report. A 72-year-old woman presented with severe symptomatic and refractory lymphocele associated with persistent lower limb lymphede...

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Main Authors: Ana Sofia Fernandes, Antónia Costa, Raquel Mota, Vera Paiva
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2014/624803
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author Ana Sofia Fernandes
Antónia Costa
Raquel Mota
Vera Paiva
author_facet Ana Sofia Fernandes
Antónia Costa
Raquel Mota
Vera Paiva
author_sort Ana Sofia Fernandes
collection DOAJ
description Background. Pelvic lymphoceles are frequently described as a complication of pelvic lymphadenectomy performed for surgical staging of gynaecologic malignancies. Case Report. A 72-year-old woman presented with severe symptomatic and refractory lymphocele associated with persistent lower limb lymphedema and recurrent erysipelas. After four CT fluoroscopy scan guided percutaneous catheter drainages, the lymphocele complicated with infection finally resolved with two sessions of bleomycin sclerotherapy. Conclusion. Symptomatic persistent lymphoceles require treatment and nowadays the first option is interventional radiologic procedures. Bleomycin is a safe and effective sclerosing agent and therefore should be regarded as a first-line treatment choice.
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institution Kabale University
issn 2090-6684
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language English
publishDate 2014-01-01
publisher Wiley
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series Case Reports in Obstetrics and Gynecology
spelling doaj-art-d063a1dc71a54c7b9f7ca1f7928b77aa2025-02-03T01:31:29ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922014-01-01201410.1155/2014/624803624803Bleomycin Sclerotherapy for Severe Symptomatic and Persistent Pelvic LymphoceleAna Sofia Fernandes0Antónia Costa1Raquel Mota2Vera Paiva3Department of Obstetrics and Gynaecology, São João Hospital Center, PortugalDepartment of Obstetrics and Gynaecology, São João Hospital Center, PortugalDepartment of Obstetrics and Gynaecology, São João Hospital Center, PortugalDepartment of Obstetrics and Gynaecology, São João Hospital Center, PortugalBackground. Pelvic lymphoceles are frequently described as a complication of pelvic lymphadenectomy performed for surgical staging of gynaecologic malignancies. Case Report. A 72-year-old woman presented with severe symptomatic and refractory lymphocele associated with persistent lower limb lymphedema and recurrent erysipelas. After four CT fluoroscopy scan guided percutaneous catheter drainages, the lymphocele complicated with infection finally resolved with two sessions of bleomycin sclerotherapy. Conclusion. Symptomatic persistent lymphoceles require treatment and nowadays the first option is interventional radiologic procedures. Bleomycin is a safe and effective sclerosing agent and therefore should be regarded as a first-line treatment choice.http://dx.doi.org/10.1155/2014/624803
spellingShingle Ana Sofia Fernandes
Antónia Costa
Raquel Mota
Vera Paiva
Bleomycin Sclerotherapy for Severe Symptomatic and Persistent Pelvic Lymphocele
Case Reports in Obstetrics and Gynecology
title Bleomycin Sclerotherapy for Severe Symptomatic and Persistent Pelvic Lymphocele
title_full Bleomycin Sclerotherapy for Severe Symptomatic and Persistent Pelvic Lymphocele
title_fullStr Bleomycin Sclerotherapy for Severe Symptomatic and Persistent Pelvic Lymphocele
title_full_unstemmed Bleomycin Sclerotherapy for Severe Symptomatic and Persistent Pelvic Lymphocele
title_short Bleomycin Sclerotherapy for Severe Symptomatic and Persistent Pelvic Lymphocele
title_sort bleomycin sclerotherapy for severe symptomatic and persistent pelvic lymphocele
url http://dx.doi.org/10.1155/2014/624803
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AT antoniacosta bleomycinsclerotherapyforseveresymptomaticandpersistentpelviclymphocele
AT raquelmota bleomycinsclerotherapyforseveresymptomaticandpersistentpelviclymphocele
AT verapaiva bleomycinsclerotherapyforseveresymptomaticandpersistentpelviclymphocele