Ask Dr. Z

1.  Bilateral pelvic lymphangiography performed, demonstrating multifocal extravasation of lipiodol from lymphatic ducts along the superolateral aspect of the right pelvic lymphocele, reflecting additional sites of lymphatic leak (separate from the

larger leak identified and embolized 2 weeks prior). No lymphatic leak identified on the left.

2.  Antegrade embolization of the right pelvic lymphatic leak (3:1 mixture of lipiodol: n-BCA).

3.  Abscessogram performed via the right pelvic lymphocele drain, demonstrating an approximately 10 mL opacity semilunar cavity, without communication to the bladder or any other structures.

4.  Sclerosis of the right pelvic lymphocele (Doxycycline with 1 hour dwell time). Drain left in place, connected to gravity bag. Please flush with 5 mL sterile saline twice daily and record output.

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