Percutaneous Translymphocele Embolization of Retroperitoneal Lymphatic Leak

Vasc Endovascular Surg. 2022 Feb;56(2):225-228. doi: 10.1177/15385744211062317. Epub 2021 Dec 8.

Abstract

Iodized oil-based lymphangiography (LAG) is a well-established diagnostic exam during the workup of postoperative lymphatic leaks. Computed tomography (CT) has been shown to be a useful complement to optimize treatment planning and can easily be performed after conventional LAG. The treatment options for lymphatic leaks include conservative dietary modification, sclerotherapy, embolization, and surgery. We present a case of a 48-year-old man who developed a symptomatic left retroperitoneal lymphatic fluid collection after left nephrectomy, complicated by postoperative retroperitoneal abscess. Retroperitoneal duct leak was confirmed via ultrasound-guided intranodal LAG and post-LAG CT. This leak was successfully managed with N-butyl cyanoacrylate glue embolization of the leaking lymphatics via fluoroscopic-guided catheterization of the leak via percutaneous access through the lymphatic fluid collection.

Keywords: computed tomography; lymphangiogram; lymphatic embolization; lymphatic injury; lymphocele.

Publication types

  • Case Reports

MeSH terms

  • Embolization, Therapeutic*
  • Enbucrilate*
  • Humans
  • Lymphatic Vessels*
  • Lymphography
  • Male
  • Middle Aged
  • Treatment Outcome

Substances

  • Enbucrilate