case_images: PMC8277509_01
case_images: Ultrasonography performed during intranodal lymphangiography demonstrating a 23-gauge needle (arrow) being advanced into an inguinal lymph node (arrowhead).
case_images: CRIU2021-7822422.001.jpg
case_images: PMC8277509_01_CRIU2021-7822422.001.jpg
case_images: fig1
case_images: Under local anesthesia, bilateral inguinal lymph nodes were punctured with a 23-gauge cathelin needle under ultrasound guidance (Figure 1).
case_images: Pelvic X-ray performed during intranodal lymphangiography demonstrating leakage of lipiodol (arrows) from the left wall of the pelvis into the peritoneal cavity.
case_images: CRIU2021-7822422.002.jpg
case_images: PMC8277509_01_CRIU2021-7822422.002.jpg
case_images: fig2
case_images: Lymphatic leakage from the left pelvic wall into the peritoneal cavity was detected (Figure 2).
case_images: Laparoscopic image taken during surgical repair of lymphorrhea demonstrating droplets of lipiodol (white arrows) flowing out from a dent (white arrowhead) on the left wall of the pelvis; surgical clips (black arrows) that were placed during cystectomy to prevent lymphatic leakage and the left external iliac artery (black arrowhead) can be observed.
case_images: CRIU2021-7822422.003.jpg
case_images: PMC8277509_01_CRIU2021-7822422.003.jpg
case_images: fig3
case_images: Three minutes after administering lipiodol injection, laparoscopy revealed extravasation of lipiodol and indigo carmine from the dent (Figures 3 and 4 and Supplementary Video).
case_images: Laparoscopic image taken during surgical repair of lymphorrhea demonstrating indigo carmine (arrowhead) flowing out from a dent on the left wall of the pelvis.
case_images: CRIU2021-7822422.004.jpg
case_images: PMC8277509_01_CRIU2021-7822422.004.jpg
case_images: fig4
case_images: Three minutes after administering lipiodol injection, laparoscopy revealed extravasation of lipiodol and indigo carmine from the dent (Figures 3 and 4 and Supplementary Video).