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Case Reports in Obstetrics and Gynecology
Volume 2014 (2014), Article ID 624803, 8 pages
http://dx.doi.org/10.1155/2014/624803
Case Report

Bleomycin Sclerotherapy for Severe Symptomatic and Persistent Pelvic Lymphocele

1Department of Obstetrics and Gynaecology, São João Hospital Center, Portugal
2Medicine Faculty of Porto University, Portugal

Received 3 February 2014; Revised 28 May 2014; Accepted 11 June 2014; Published 6 July 2014

Academic Editor: Anna Fagotti

Copyright © 2014 Ana Sofia Fernandes et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Pelvic lymphoceles are frequently described as a complication of pelvic lymphadenectomy performed for surgical staging of gynaecologic malignancies. Case Report. A 72-year-old woman presented with severe symptomatic and refractory lymphocele associated with persistent lower limb lymphedema and recurrent erysipelas. After four CT fluoroscopy scan guided percutaneous catheter drainages, the lymphocele complicated with infection finally resolved with two sessions of bleomycin sclerotherapy. Conclusion. Symptomatic persistent lymphoceles require treatment and nowadays the first option is interventional radiologic procedures. Bleomycin is a safe and effective sclerosing agent and therefore should be regarded as a first-line treatment choice.