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Bilateral abdominopelvic lymphoceles secondary to huge uterine leiomyomas: A case report
Author(s) -
AlShukri Maryam,
Manjunath Attibele P.,
Koliyadan Sreedharan,
AlQassabi Badriya
Publication year - 2020
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.14146
Subject(s) - medicine , lymphocele , pelvis , uterine leiomyoma , abdomen , radiology , magnetic resonance imaging , surgery , leiomyoma , complication
Pelvic lymphocele secondary to uterine leiomyoma has not been previously reported. We report a case of abdominopelvic lymphocele associated with huge uterine fibroids which was managed conservatively. A 39‐year‐old unmarried lady presented with pressure symptoms in pelvis was diagnosed to have a huge uterine leiomyomas occupying the entire abdomen. Magnetic resonance imaging of pelvis and abdomen demonstrated multiple uterine fibroids. In addition, bilateral cystic structures were seen in the pelvis with extension to the para‐colic gutters. During myomectomy, bilateral abdominopelvic lymphoceles were noted which required only fine‐needle aspiration. Follow up abdominal ultrasound at 6 weeks, demonstrated spontaneous resolution of these lesions. The pressure exerted by these huge uterine leiomyomas might have possibly obstructed the lymphatic drainage leading to bilateral abdominopelvic lymphoceles. These secondary lymphoceles resolve spontaneously and does not need any further diagnostic procedures or surgical interventions.