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首页> 外文期刊>Journal of cardiology >Deep vein thrombosis caused by pelvic lymphocyst following radical prostatectomy: a case report
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Deep vein thrombosis caused by pelvic lymphocyst following radical prostatectomy: a case report

机译：骨盆淋巴细胞引起的深静脉血栓形成术后前列腺切除术：案例报告

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摘要

A 66-year-old man was admitted with distal edema of his right leg. He had undergone radical prostatectomy and pelvic lymphadenectomy for prostatic cancer 23 days previously. Abdominal computed tomography (CT) showed a lymphocyst (4.5 x 3.0 cm) along the right pelvic wall compressing the right external iliac vein. CT with contrast medium showed thrombus formation (about 9 cm) in the distal portion of the right external iliac vein and femoral vein. An inferior vena cava filter was placed to prevent pulmonary embolism, and anticoagulation with warfarin was started. One week later, CT showed shrinkage of the lymphocyst and thrombus in the vein, as well as a large thrombus trapped in the filter. Follow-up CT taken 2 months later revealed marked reduction of the lymphocyst and absence of thrombus in both the vein and filter. A lymphocyst, also known as a lymphocele, is a complication of radical pelvic surgery. Most lymphocysts are asymptomatic and regress spontaneously, but may lead to deep vein thrombosis and pulmonary embolism, usually a few weeks after surgery. Careful observation is needed even after discharge from hospital.
机译：一名66岁的男子右腿的远端水肿录得。他之前23天的前列腺癌接受了激进的前列腺切除术和盆腔淋巴结切除术。腹部计算断层扫描（CT）沿右骨盆壁淋巴细胞（4.5×3.0cm）压缩右外髂静脉。具有造影剂的CT在右外髂静脉和股静脉的远端部分中显示出血栓形成（约9cm）。放置下腔静脉过滤器以防止肺栓塞，并开始用华法林的抗凝。一周后，CT显示脉冲在静脉中的淋巴细胞和血栓的收缩，以及捕获在过滤器中的大血栓。 2个月后的随访CT显示，静脉和过滤器中淋巴细胞的显着减少了淋巴细胞和血栓。淋巴细胞，也称为淋巴细胞，是自由基骨盆手术的并发症。大多数淋巴细胞都是无症状的并且自发地衰退，但可能导致深静脉血栓形成和肺栓塞，通常在手术后几周。即使在医院排放后也需要仔细观察。

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