Case of a Patient with Cervical Cancer after Wertheim Surgery who Underwent Minimally Invasive Treatment of Giant Lymphocele and Related Secondary Complications

Abstract

An experience of successful treatment of giant lymphocele and related secondary complications, such as signs of hydronephrosis of both kidneys of a patient after Wertheim surgery in case of cervical disease before radiotherapy is described. A complex of ultrasound studies using 3 types of echographic picture of the lymphocele was applied, which made it possible to determine the rational management of the patient using the technique of invasive sonography. Ultrasound examination, on the 17th day after the operation, revealed lymphocele in the iliac regions (1450 ml on the right, 1290 ml on the left) and signs of hydronephrosis of both kidneys. Drains under the control of sonography in both the lymphatic cavity were set up. Signs of hydronephrosis of both kidneys ceased to be located on the 2nd day after the installation of drains. Drains were removed after 13 days. During further ultrasound examinations of the patient, the lymphocele and signs of hydronephrosis were not rendered. Ultrasound examinations were performed on the 3rd, 7th, 12th, 21st, 35th, 62nd, 145th day after drains were removed.