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

• Main Authors: 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
• Format: Article
• Language: English
• Published: Elsevier 2017-12-01
• Series: Radiology Case Reports
• Subjects: Lymphocele; Lymphadenectomy; Ileus; Sclerotherapy
• Online Access: http://www.sciencedirect.com/science/article/pii/S1930043317302789
• ISSN: 1930-0433

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.