Abstract
IntroductionGiant lymph cysts are a relatively frequent complication after surgical procedures in the abdomen, often after kidney transplantation, but there are also cases after pelvic surgery such as lymphadenectomy and others. In the recent literature, there have been no reported cases of idiopathic giant lymphocyst.Case presentationWe present the case of a 76-year-old Caucasian man who had a lymph cyst he had known of for more than 15 years. Laparoscopic treatment was necessary because of hydronephrosis of the left kidney.ConclusionThis case shows that laparoscopic drainage and partial resection of the lymph cyst is a safe and effective treatment.
Highlights
Giant lymph cysts are a relatively frequent complication after surgical procedures in the abdomen, often after kidney transplantation, but there are cases after pelvic surgery such as lymphadenectomy and others
Symptomatic, obstructive and infectious complications contribute to the morbidity caused by lymphoceles [2]
Case presentation A 76-year-old Caucasian man was referred to our Department of Urology with a low-risk urothelial bladder cancer
Summary
Lymphoceles are bothersome postoperative complications, most frequently occurring after pelvic or retroperitoneal lymphadenectomy or renal transplant surgery [1]. The patient told us about an abdominal lymph cyst that he had known about for more than 15 years; a puncture revealed no malignant cells. Twenty months after first presentation with bladder cancer, ultrasound examination and a computed tomography (CT) scan showed a giant lymph cyst. Grade II hydronephrosis caused by the giant lymph cyst was visible in the patient’s ultrasound examination. The serum creatinine level was 105 μmol/L At that time, he had the first symptoms because of this giant lymph cyst; an insertion of a 70-cm-long ureteral catheter on the left side was possible (Figure 1). After cardiologic diagnostics and medical treatment two months later, laparoscopic partial resection of the giant lymph cyst was performed.
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