外傷後骨盆腔淋巴囊腫：病例報告

Posttraumatic Pelvic Lymphocele: A Case Report

黃乃炯(Nai-Chiung Huang) ； 劉森永(Sen-Yung Liu) ； 陳怡如(I-Ru Chen) ； 魏大森(Ta-Sen Wei)

《中華民國復健醫學會雜誌》 31卷3期 (2003/09) Pp. 175-179

摘要

骨盆腔淋巴囊腫通常發生於腎臟移植或骨盆腔腫瘤暨淋巴切除後的患者，由外力撞擊鈍傷造成者屬於罕見的病例。沒有出現症狀的患者，只需持續觀察追蹤即可；有症狀的患者則需要將囊腫內的淋巴液直接抽出或引流。本文提出一例因跌倒受傷後引起下背痛的患者，合併延遲出現單側大腿腫脹的現象，電腦斷層攝影在骨盆腔發現一個淋巴囊腫，經直接抽出囊腫液體後，所有症狀隨即迅速解除，經追蹤半年未再復發。

關鍵字

下背痛 ； 骨盆腔淋巴囊腫

並列摘要

The development of pelvic lymphocele is usually a complication following renal transplantation as well as pelvic lymphadenectomy for gynecologic or urologic cancers. Pelvic lymphocele after blunt trauma is rare described before. Asymptomatic patients are managed with observation and follow-up imaging studies. Symptomatic lymphoceles need to be treated by means of percutaneous needle aspiration or drainage. We reported a case of low back pain after a fall with delayed onset of ispilateral thigh swelling. Computed tomography revealed a fluid-filled mass in the pelvis. After treatment by CT-guided percutaneous aspiration, all symptoms rapidly resolved without recurrent symptoms in 6 months follow-up.

並列關鍵字

low back pain ； pelvic lymphocele