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Research ArticleFull Length Article
Open Access

Retroperitoneal lymphocele after lumbar total disc replacement: a case report and review of literature

Bibhudendu Mohapatra, Thomas Kishen, Ken W. K. Loi and Ashish D. Diwan
International Journal of Spine Surgery January 2010, 4 (3) 87-91; DOI: https://doi.org/10.1016/j.esas.2010.01.006
Bibhudendu Mohapatra
aSpine Service, Department of Orthopaedic Surgery, St. George Hospital and Clinical School, University of New South Wales, Kogarah, Australia
MS
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  • For correspondence: b.mohapatra@spine-service.org
Thomas Kishen
aSpine Service, Department of Orthopaedic Surgery, St. George Hospital and Clinical School, University of New South Wales, Kogarah, Australia
DNB
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Ken W. K. Loi
bDepartment of Upper GI and Bariatric Surgery, St. George Private Hospital, Kogarah, Australia
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Ashish D. Diwan
aSpine Service, Department of Orthopaedic Surgery, St. George Hospital and Clinical School, University of New South Wales, Kogarah, Australia
PhD
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Figures

  • Fig. 1
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    Fig. 1

    (A, B) Midsagittal and axial magnetic resonance images of lumbar spine showing degeneration and reduction in disc height at L4-5.

  • Fig. 2
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    Fig. 2

    (A, B) Clinical picture of patient at 4 weeks after surgery showing abdominal swelling along with right paramedian scar.

  • Fig. 3
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    Fig. 3

    (A–C) Axial, sagittal, and coronal CT images of abdomen at 4 weeks postoperatively showing significant collection of lymphatic fluid.

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    Fig. 4

    Clinical picture of patient at 6 months’ follow-up (after aspiration of lymphocele) showing complete resolution of abdominal swelling.

  • Fig. 5
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    Fig. 5

    Anteroposterior and lateral views of radiograph of lumbosacral spine with prosthesis (ProDisc-L) 6 months postoperatively with maintenance of disc height and lordosis.

  • Fig. 6
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    Fig. 6

    Anatomy of retroperitoneal lymphatics. (Reprinted with permission from Drake RL, Vogl W, Mitchell AWM. Gray's anatomy for students. Philadelphia: Elsevier; 2005. p. 335).

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International Journal of Spine Surgery
Vol. 4, Issue 3
1 Jan 2010
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Retroperitoneal lymphocele after lumbar total disc replacement: a case report and review of literature
Bibhudendu Mohapatra, Thomas Kishen, Ken W. K. Loi, Ashish D. Diwan
International Journal of Spine Surgery Jan 2010, 4 (3) 87-91; DOI: 10.1016/j.esas.2010.01.006

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Retroperitoneal lymphocele after lumbar total disc replacement: a case report and review of literature
Bibhudendu Mohapatra, Thomas Kishen, Ken W. K. Loi, Ashish D. Diwan
International Journal of Spine Surgery Jan 2010, 4 (3) 87-91; DOI: 10.1016/j.esas.2010.01.006
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Keywords

  • Retroperitoneal lymphocele
  • degenerative disc disease
  • Anterior lumbar spine surgery
  • total disc replacement

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