7%) in each of Groups 2 to 4 developed a symptomatic lymphocele
requiring treatment by percutaneous drainage.
Although dyslipidemia, thrombocytopenia, and lymphocele
occur relatively often after sirolimus therapy, the development of lymphedema associated with sirolimus is a rare complication (2).
Late urinary complications were defined as occurring from 31 to 365 days following surgery and included bladder neck obstruction, urethral stricture, intestinal fistula, lymphocele
, and definitive incontinence repair.
13) The differential diagnosis includes hematoma, seroma, abscess, urinoma, or lymphocele
1), (2)Tumor, lymphocele
, and urinoma are other known causes.
1 Viral meningitis Suspected LCM 2 Lymphocytic meningitis Suspected LCM 3 Lymphocytic meningitis Suspected LCM 4 Lymphocytic meningitis Suspected LCM 5 Tuberculosis meningitis Miscoded 6 Lyme encephalitis Miscoded 7 Lymphocele
Miscoded 8 Lymphocytic cholitis Miscoded 9 Lymphocytic leukemia Miscoded 10 Lymphocytic leukemia Miscoded 11 Atypical lymphocytes Miscoded 12 Reactive lymphocytes Miscoded 13 Charcot foot anomaly Miscoded 14 Tuberculosis Miscoded * Diagnosis was the first listed or most clinically relevant written diagnosis from the medical record.
These include the Elikin and Bernstein118 medullary necrosis, inflammatory and traumatic categories, and cystic degeneration of carcinomas, and the Brisceglia et al (113) renal tumors with cystic necrosis and some pseudocystic diseases, such as pyelocalyceal cysts and lymphocele
Treatment of a postoperative cervical chylous lymphocele
by percutaneous sderosing with povidone-iodine.
Adverse reactions associated with RAPAMUNE administration include hypercholesterolemia, hypertriglyceridemia, lymphocele
, hypertension, abnormal liver function tests (including increased AST/SGOT and increased ALT/SGPT), elevated lactate dehydrogenase, thrombocytopenia, abnormal healing, anemia, arthralgia, diarrhea, edema, hypokalemia, hypophosphatemia, hyperglycemia, tachycardia, rash, ileus, rectal disorder, acne, abdominal pain, urinary tract infection, stomatitis, leukopenia, proteinuria, pneumonia, pneumonitis, squamous cell carcinoma, basal cell carcinoma and venous thromboembolism.
Late complications occurred in three patients; two had a pelvic lymphocele
and one had a deep-vein thrombosis.
10) These include wound infections, hematomas, arterial and nerve injury, lymphocele
, and deep vein thrombosis.
19) Predefined surgical complications included death, surgical re-exploration, conversion to open, bleeding necessitating transfusion, urine leak, dialysis, lymphocele
, pyelonephritis, perinephric abscess, retroperitoneal hematoma, wound infection, urinary tract infection, pneumothorax, pseudoaneurysm, and bowel perforation.