Radiology Case Reports (Dec 2017)

A successful case of a para-aortic lymphocele treated with autologous peripheral blood injection

  • Keiji Nishibeppu, MD,
  • Tomohiro Arita, MD, PhD,
  • Masayoshi Nakanishi, MD, PhD,
  • Yoshiaki Kuriu, MD, PhD,
  • Yasutoshi Murayama, MD, PhD,
  • Katsutoshi Shoda, MD, PhD,
  • Toshiyuki Kosuga, MD, PhD,
  • Hirotaka Konishi, MD, PhD,
  • Ryo Morimura, MD, PhD,
  • Shuhei Komatsu, MD, PhD,
  • Atsushi Shiozaki, MD, PhD,
  • Hisashi Ikoma, MD, PhD,
  • Daisuke Ichikawa, MD, PhD,
  • Hitoshi Fujiwara, MD, PhD,
  • Kazuma Okamoto, MD, PhD,
  • Eigo Otsuji, MD, PhD

DOI
https://doi.org/10.1016/j.radcr.2017.08.014
Journal volume & issue
Vol. 12, no. 4
pp. 760 – 763

Abstract

Read online

A lymphocele is one of the complications of systematic pelvic or para-aortic lymphadenectomy. Although most patients are entirely asymptomatic, our patient exhibited an obstructive ileus at the jejunum compressed by a lymphocele. We report here a case of a subsequent para-aortic lymphocele treated with autologous peripheral blood injection. A 68-year-old woman with sigmoid colon cancer (T3N2bM1a) underwent laparoscopic sigmoidectomy. After 4 courses of chemotherapy (CapeOX + Bmab), para-aortic lymphadenectomy was additionally performed. One month later, an obstructive ileus occurred suddenly due to a lymphocele. A drainage catheter was placed into the lymphocele and a total of 35 mL of autologous peripheral blood was injected in 4 divided doses through the catheter. The volume of the lymphocele gradually reduced and the ileus improved after blood injection. This is the first report of a successful case of a subsequent para-aortic lymphocele treated with autologous peripheral blood injection without any complications.

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