Lymphocele
| Classification according to ICD-10 | |
|---|---|
| I89.8 | Other specified non-infectious diseases of the lymphatic vessels and lymph nodes. |
| ICD-10 online (WHO version 2019) | |
A lymphocele ( English lymphocele ) is the accumulation of lymph fluid in an anatomically not intended, that is, endothelium-free space. The lymphocyst and the lymph fistula are to be distinguished from the lymphocele .
In some publications, the terms lymphocele and lymph cyst are incorrectly used synonymously.
Description and pathogenesis
Lymphoceles usually develop as a result of a lymphadenectomy (surgical removal of a lymph node) in the abdominal cavity or in the pelvic cavity , especially if the severed lymph vessels have not been completely closed. The natural closure of the lymphatic vessels can also be delayed by heparinization . In both cases, the lymph fluid flows freely into the tissue and accumulates in the interstitium . Another cause of lymphoceles can be rupture of the lymph vessels as a result of an injury.
Lymphoceles can also develop after surgery in the soft tissues of the trunk wall or on the legs after varicose vein surgery .
therapy
In most cases, lymphoceles do not require any treatment, as they usually resolve on their own after weeks. Adjacent lymph vessels then take over the removal of the lymph. Surgical revision by puncture or sclerotherapy is only necessary in a few cases . One therapy option in the abdominal cavity is laparoscopic lymphocele fenestration .
Individual evidence
- ↑ Proposal to change the coding for postoperative lymphoceles according to I97.0 ( page no longer available , search in web archives ) Info: The link was automatically marked as defective. Please check the link according to the instructions and then remove this notice. (PDF; 68 kB)
- ↑ C. Schuchhardt and U. Herpertz: Lymphologische Terminologie. ( Page no longer available , search in web archives ) Info: The link was automatically marked as defective. Please check the link according to the instructions and then remove this notice. In: LymphForsch 4, 2000, pp. 31-33.
- ↑ Peter Reuter: Springer Lexicon Medicine. Springer, Berlin a. a. 2004, ISBN 3-540-20412-1 , p. 1292.
- ^ W. Siegenthaler: Clinical Pathophysiology. Georg Thieme Verlag, 2006, ISBN 3-13-449609-7 , p. 749.
- ↑ U. Herpertz: Lymphangiectasia and other lymphatic vessel dilation. The Edema Forum, accessed on January 9, 2010
- ↑ U. Herpertz: Edema and Lymph Drainage: Diagnosis and Therapy of Edema Diseases. Schattauer Verlag, 2006, ISBN 3-7945-2488-8 , pp. 105-106.
- ↑ Laparoscopic Lymphocele Windowing. ( Page no longer available , search in web archives ) Info: The link was automatically marked as defective. Please check the link according to the instructions and then remove this notice. LMU Munich, accessed on January 9, 2010
