A Case Series of Retroperitoneal Lymphocele Following Anterior Lumbar Interbody Fusion

World Neurosurg. 2020 Aug:140:114-118. doi: 10.1016/j.wneu.2020.04.234. Epub 2020 May 8.

Abstract

Background: Lymphocele is a rare complication following anterior lumbar interbody fusion with very few reported cases in the literature. We report 3 cases of lymphocele following anterior lumbar interbody fusion.

Case description: In the first 2 cases, the patients presented with retroperitoneal lymphocele, and both were managed with sclerotherapy with ethanol. In the third case, the patient also presented with a retroperitoneal lymphocele and was managed instead with percutaneous drain placement. All 3 patients had subsequent resolution of the lymphoceles and their associated symptoms.

Conclusions: This case report reviews the diagnostic algorithm and management of lymphocele following anterior lumbar interbody fusion.

Keywords: Anterior lumbar interbody fusion; Lumbar; Lymphocele; Spine surgery.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Humans
  • Lumbar Vertebrae / surgery*
  • Lymphocele / etiology*
  • Male
  • Middle Aged
  • Postoperative Complications / etiology
  • Retroperitoneal Space
  • Spinal Fusion / adverse effects*