Treatment of Postoperative Neck Dissection Cervical Lymphocele With Percutaneous Bleomycin Sclerotherapy

Am Surg. 2024 May;90(5):1103-1104. doi: 10.1177/00031348231220577. Epub 2023 Dec 8.

Abstract

Lymphatic leak after lymph node dissection is a rare but well-known surgical complication that is often treated with conservative management and ultimately reoperation. The purpose of this report is to offer an alternative treatment for chyle leak that avoids hospitalization and subsequent surgery. Sclerotherapy has been used to treat lymphatic leaks in the past and has been shown to be safe and effective. This report presents a patient with a known cervical lymphocele who was followed through multiple sclerotherapy appointments until resolution of the lymphocele.

Keywords: head/neck; interventional radiology; lymphocele; sclerotherapy; surgical oncology.

MeSH terms

  • Bleomycin
  • Humans
  • Lymphocele* / etiology
  • Lymphocele* / therapy
  • Neck
  • Neck Dissection / adverse effects
  • Postoperative Complications / therapy
  • Sclerotherapy* / adverse effects

Substances

  • Bleomycin