Rare case of giant lymphocele treated with supramicrosurgical approach

Abstract

INTRODUCTION: Lymphocele (or cystic lymphangioma) is a typical disease of the lymphatic vascukarization caused by
lymphatic fluid leakage. Lymphatic leakage can result from traumas or as a complication of surgical procedures. Clinic
is vague and surgical resection is still considered the most effective approach. Thereby, a standpoint should be the identification and treatment of afferent lymphatic channels which can be addressed by LVA.

CASE PRESENTATION: The authors describe a rare case of a giant lymphocele occurred in a 56-year-old Caucasian woman
treated for endometrial carcinoma. Lymphocele was refractory to percutaneous drainage and compressive treatment. Therefore surgical excision in combination with supramicrosurgical lymphatico-venular anastomosis (LVA) was scheduled.

CONCLUSIONS: The aim of the report is to offer an overview on the main therapeutic options to treat lymphocele and
to demonstrate the effectiveness of combining excision with lymphatic microsurgery