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Related Experiment Video

Updated: Jun 30, 2026

Murine Mesenteric Lymphadenectomy for Selective Disruption of Lymphatic Communication with Region-Specific Gut
07:27

Murine Mesenteric Lymphadenectomy for Selective Disruption of Lymphatic Communication with Region-Specific Gut

Published on: December 30, 2025

Lymphatic Embolization for Lymphatic Leakage After Pelvic Lymph Node Dissection: Case Report.

Rio Oshima1, Shuji Kariya1, Miyuki Nakatani1

  • 1Department of Radiology Kansai Medical University Hirakata Osaka Japan.

IJU Case Reports
|June 29, 2026
PubMed
Summary
This summary is machine-generated.

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Upstream lymphatic embolization effectively treats persistent high-output lymphatic leakage after radical cystectomy and pelvic lymph node dissection. This minimally invasive approach rapidly reduced drainage, enabling prompt patient recovery.

Area of Science:

  • Urology
  • Interventional Radiology
  • Oncology

Background:

  • Radical cystectomy with pelvic lymph node dissection for muscle-invasive bladder cancer can lead to postoperative lymphatic leakage.
  • High-output lymphatic drainage persisting despite conservative management poses a significant clinical challenge.

Purpose of the Study:

  • To describe the successful treatment of diffuse lymphoascites resulting from lymphatic leakage after pelvic lymph node dissection.
  • To evaluate the efficacy of upstream lymphatic embolization in managing refractory high-output lymphatic leakage.

Main Methods:

  • A case presentation of a patient in his 70s with high-output lymphatic leakage (>1000 mL/day) post-radical cystectomy and pelvic lymph node dissection.
  • Utilized intranodal lymphangiography via bilateral inguinal nodes to identify iliac lymphatic duct leaks.
Keywords:
Lymphorrheacystectomyembolizationlymphangiographyurinary bladder neoplasms

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  • Performed upstream embolization using a N-butyl cyanoacrylate-ethiodized oil mixture.

    • Main Results:

    • Upstream lymphatic embolization rapidly reduced lymphatic drainage.
    • Drainage was successfully managed, allowing for drain removal by day 4 post-procedure.
    • The patient was discharged by day 10 without developing persistent lymphedema.

    Conclusions:

    • Upstream lymphatic embolization is a viable minimally invasive treatment option for refractory high-output lymphatic leakage following pelvic lymph node dissection.
    • This technique offers a rapid and effective solution for managing postoperative lymphatic complications.
    • Successful embolization can lead to improved patient outcomes and reduced hospital stay.