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Left subphrenic lymphocele after total gastrectomy.

Nadia Boujida1, Soukayna Jabour1, Khadija Elaitari1

  • 1Radiology Department, National Institute of Oncology, Rabat, Morocco.

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|March 25, 2025
PubMed
Summary

A rare surgical complication, lymphocele (lymphatic fluid collection), can occur after gastrectomy. This case presents the first documented instance of a left subphrenic lymphocele, detailing its distinct clinical and imaging characteristics.

Keywords:
LymphoceleLymphocele post gastrectomyTotal gastrectomy complication

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Area of Science:

  • Surgical Complications
  • Gastrointestinal Surgery
  • Lymphatic System Disorders

Background:

  • Lymphocele is a rare postsurgical complication involving lymphatic fluid accumulation.
  • It is most frequently observed after pelvic lymphadenectomy but can arise from other procedures causing lymphatic injury.
  • Understanding the diverse origins of lymphocele is crucial for accurate diagnosis and management.

Observation:

  • This report details the first documented case of a left subphrenic lymphocele.
  • The lymphocele was identified following a gastrectomy procedure.
  • The diagnosis was confirmed using computed tomography (CT) scans and ultrasound imaging.

Findings:

  • The case presented unique clinical manifestations of a subphrenic lymphocele.
  • Radiological features observed on CT and ultrasound were characteristic of this rare complication.
  • The subphrenic location is an unusual site for lymphocele formation post-gastrectomy.

Implications:

  • This case expands the known spectrum of lymphocele presentation after abdominal surgery.
  • It underscores the importance of considering lymphocele in the differential diagnosis of postoperative fluid collections, even in atypical locations.
  • Further investigation into the specific mechanisms leading to subphrenic lymphocele after gastrectomy may be warranted.