Late retroperitoneal hematoma with abscess formation following laparoscopic staging of endometrial cancer Journal Article

Authors: Casanova, J.; Sicam, R. V. G.; Moreira-Barros, J.; Huang, K. G.
Article Title: Late retroperitoneal hematoma with abscess formation following laparoscopic staging of endometrial cancer
Abstract: Herein, we report a case of a 63-year-old, nonobese, woman who underwent laparoscopic surgical staging for endometrial cancer with pelvic and para-aortic lymph node dissection. After being discharged, the patient presented to the emergency department with fever and abdominal pain, 1 week after the procedure. Abdominal tenderness, fever, and anemia were the key clinical and laboratory findings. A computed tomography (CT) scan revealed a cystic mass with air bubbles, located in the right iliopsoas region. The features were consistent with an infected hematoma at the right iliopsoas region, which was managed with antibiotics and CT-guided pigtail drainage. Laparoscopic surgical staging for endometrial cancer has been shown to have fewer early complications than open surgery. However, complications can still occur in the most experienced hands. Abscess arising from hematomas after laparoscopic surgical staging can be managed adequately with noninvasive CT-guided drainage. © 2018 Gynecology and Minimally Invasive Therapy.
Keywords: adult; clinical article; middle aged; antibiotic agent; case report; cancer staging; endometrial cancer; lymph node dissection; paraaortic lymph node; pelvis lymph node; laparoscopy; endometrium cancer; c reactive protein; computer assisted tomography; anemia; abdominal pain; fever; emergency ward; remission; physical examination; leukocyte count; erythrocyte transfusion; hematoma; metronidazole; abdominal radiography; ceftriaxone; abscess; pelvis radiography; iliopsoas hematoma; open surgery; abdominal tenderness; retroperitoneal hematoma; human; female; priority journal; article; laparoscopic staging surgery; induced abortion
Journal Title: Gynecology and Minimally Invasive Therapy
Volume: 7
Issue: 1
ISSN: 2213-3070
Publisher: Elsevier Science, Inc.  
Date Published: 2018-01-01
Start Page: 31
End Page: 32
Language: English
DOI: 10.4103/gmit.gmit_3_17
PROVIDER: scopus
PMCID: PMC6135148
PUBMED: 30254932
Notes: Article -- Export Date: 4 September 2019 -- Source: Scopus
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