Presentation
Post-operative pelvic pain
Patient Data
No sizable operative bed enhancing soft tissue masses.
Bilateral iliac regions (at the vicinity of the external iliac vessels) few well defined cystic lesions are seen eliciting low T1 and high T2 signal with no enhancing mural soft tissue components or internal septations. The largest seen at the left side measuring about 4x 2.6 cm in axial dimensions. It is seen abutting the left external iliac vein and causes anterior abdominal wall contour bulge.
Anterior abdominal wall midline scarring and subcutaneous fat stranding (recent post operative sequel).
Average size liver showing normal signal intensity, no focal lesions or biliary radicles dilatation.
Normal size, shape and signal intensity pattern of the spleen, pancreas, adrenals and both kidneys (apart from left renal cortical cyst).
No abdominal or pelvic lymphadenopathy.
Mild pelvic ascites.
Case Discussion
Lymphoceles are collections of lymphatic fluid that happen most frequently in the postoperative setting. Although they can occur in potentially any part of the body where lymphatic tissue is resected (e.g. lymphadenectomy) or injured in trauma, they are most commonly seen in the retroperitoneum.
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