%0 Journal Article
%T Idiopathic giant abdominal lymph cyst: a case report
%A Thorsten H Ecke
%A Holger Gerullis
%A Christoph J Heuck
%A Steffen Hallmann
%A Carsten Lange
%A Jščrgen Ruttloff
%J Journal of Medical Case Reports
%D 2011
%I BioMed Central
%R 10.1186/1752-1947-5-21
%X We present the case of a 76-year-old Caucasian man who had a lymph cyst he had known of for more than 15 years. Laparoscopic treatment was necessary because of hydronephrosis of the left kidney.This case shows that laparoscopic drainage and partial resection of the lymph cyst is a safe and effective treatment.Lymphoceles are bothersome postoperative complications, most frequently occurring after pelvic or retroperitoneal lymphadenectomy or renal transplant surgery [1]. Symptomatic, obstructive and infectious complications contribute to the morbidity caused by lymphoceles [2]. The diagnosis of lymphocele is made in the appropriate clinical setting, although lymphocele can occasionally be confused with urinoma, seroma, hematoma or abscess.The method of treatment is controversial, ranging from conservative observation to aggressive deperitonealizing marsupialization at surgery [3-5].This report concerns a very rare case of an idiopathic giant lymph cyst and its laparoscopic treatment.A 76-year-old Caucasian man was referred to our Department of Urology with a low-risk urothelial bladder cancer. The patient told us about an abdominal lymph cyst that he had known about for more than 15 years; a puncture revealed no malignant cells. His surgical history consisted of an open cholecystectomy twenty years ago. Twenty months after first presentation with bladder cancer, ultrasound examination and a computed tomography (CT) scan showed a giant lymph cyst. In the past years, the patient noticed a gradual increase in abdominal girth. Physical examination revealed a well-nourished man (height, 1.79 m; weight, 94.0 kg) with a grossly distended abdomen without ascitic fluid wave or tympany.Eleven months later, grade II hydronephrosis caused by the giant lymph cyst was visible in the patient's ultrasound examination. The kidney function test (clearance) showed a less-than-normal tubular function of 139 mL/min/1.73 m2 body surface (lowest norm, 143 mL/min/1.73 m2 body surface), left
%U http://www.jmedicalcasereports.com/content/5/1/21