Bilateral abdominopelvic lymphoceles secondary to huge uterine leiomyomas: A case report

Maryam Al-Shukri, Attibele P. Manjunath*, Sreedharan Koliyadan, Badriya Al-Qassabi

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Pelvic lymphocele secondary to uterine leiomyoma has not been previously reported. We report a case of abdominopelvic lymphocele associated with huge uterine fibroids which was managed conservatively. A 39-year-old unmarried lady presented with pressure symptoms in pelvis was diagnosed to have a huge uterine leiomyomas occupying the entire abdomen. Magnetic resonance imaging of pelvis and abdomen demonstrated multiple uterine fibroids. In addition, bilateral cystic structures were seen in the pelvis with extension to the para-colic gutters. During myomectomy, bilateral abdominopelvic lymphoceles were noted which required only fine-needle aspiration. Follow up abdominal ultrasound at 6 weeks, demonstrated spontaneous resolution of these lesions. The pressure exerted by these huge uterine leiomyomas might have possibly obstructed the lymphatic drainage leading to bilateral abdominopelvic lymphoceles. These secondary lymphoceles resolve spontaneously and does not need any further diagnostic procedures or surgical interventions.

Original languageEnglish
Pages (from-to)186-189
Number of pages4
JournalJournal of Obstetrics and Gynaecology Research
Volume46
Issue number1
DOIs
Publication statusPublished - Jan 1 2020

Keywords

  • fibroid uterus
  • leiomyoma
  • lymphocele
  • lymphocyst

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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