Lymphocoele: a rare and little known complication of anterior lumbar surgery.

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Serval ID
serval:BIB_1A8979B675B3
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Lymphocoele: a rare and little known complication of anterior lumbar surgery.
Journal
European Spine Journal
Author(s)
Schizas C., Foko'o N., Matter M., Romy S., Munting E.
ISSN
1432-0932[electronic]
Publication state
Published
Issued date
2009
Volume
18
Number
Suppl. 2
Pages
228-231
Language
english
Abstract
Lymphocoele is a rare and little known complication with only a handful of reports available. We report two cases of lymphocoele after anterior lumbar surgery that have occurred in two different centres and discuss diagnosis and management options. The first case is that of a 53-year-old male patient undergoing two level anterior lumbar interbody fusion (ALIF) for disabling back pain due to disc degeneration in the context of an old spondylodiscitis. He developed a large fluid mass postoperatively. Fluid levels of creatinin were low and intravenous urography ruled out a urinoma suggesting the diagnosis of a lymphocoele. Following two unsuccessful drainage attempts he underwent a laparoscopic marsupialization. The second case was that of a 32-year-old female patient developing a large fluid mass following a L5 corpectomy for a burst fracture. She was treated successfully with insertion of a vacuum drain during 7 days. Lymphocoele is a rare complication but should be suspected if fluid collects postoperatively following anterior lumbar spine procedures. Chemical analysis of the fluid can help in diagnosis. Modern treatment consists of laparoscopic marsupialization. Lymph vessel anatomy should be borne in mind while exposing the anterior lumbar spine.
Pubmed
Web of science
Open Access
Yes
Create date
07/10/2009 14:54
Last modification date
01/10/2019 6:17
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