Leg Swelling Post Lymph Node Dissection

about this presentation

65 year old male, T3a prostate cancer. Underwent robotic lymph node dissection for staging. Post operative lymphocele developed along the left external iliac vein. Percutaneous drainage decompressed the fluid collect and improved the leg swelling. Collection re-occurred and the leg swelling worsened with severe pain. Venography and intravascular ultrasound (IVUS) showed severe narrowing of the external iliac vein. Stenting and venoplasty of the external iliac vein was performed with complete resolution of the leg swelling and pain.

More Seldinger Files

Critical Limb IschemiaHeel ulcer during rehabilitation after fracture of the femur

82 year old male, heavy smoker, developed right heel ulcer during rehab after a femur fracture.

Critical Limb IschemiaCritical limb ischemia, failed bypass graft

64 year old male, type 1 diabetes, with a prior femoral to politeal bypass graft and a subsequent poplileal to tibial bypass graft.

Iliac Vein CompressionLeg Swelling Post Lymph Node Dissection

Robotic lymph node dissection for prostrate cancer staging with severe leg swelling after