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Prolonged lymphatic leak after retroperitoneal lymph node dissection: a case report
Katherine M Browne1, Rowan G Casey, John A Thornhill
1Department of Urology, Adelaide and Meath Hospitals Incorporating the National Children's Hospital Tallaght, Dublin 24 Ireland.
Introduction:
Persistent lymphatic drainage following retroperitoneal lymph node dissection for testicular tumor is an uncommon complication.
Case Presentation:
We describe a 21-year old man of Caucasian origin who had metastatic non-seminomatous germ cell tumor of the testis, and underwent retroperitoneal lymph node dissection, nephrectomy and partial inferior vena cava excision for a residual mass. The patient subsequently developed persistent lymphatic drainage causing foot drop that eventually responded to conservative medical and surgical measures.
Conclusion:
This postoperative condition usually responds well to conservative measures but has the potential for serious morbidity if it is not managed appropriately.