Evidence map›Paper›PMID 42368320›Full record

ArticleIJU case reports2026

Lymphatic Embolization for Lymphatic Leakage After Pelvic Lymph Node Dissection: Case Report.

Rio Oshima, Shuji Kariya, Miyuki Nakatani, Yasuyuki Ono, Takuji Maruyama, Yuki Tanaka, Kanji Sugiura, Noboru Tanigawa

Abstract read
In one paragraph

Article in IJU case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Rio OshimaDepartment of Radiology Kansai Medical University Hirakata Osaka Japan.
Shuji KariyaDepartment of Radiology Kansai Medical University Hirakata Osaka Japan.ORCID https://orcid.org/0000-0001-6532-8750
Miyuki NakataniDepartment of Radiology Kansai Medical University Hirakata Osaka Japan.
Yasuyuki OnoDepartment of Radiology Kansai Medical University Hirakata Osaka Japan.
Takuji MaruyamaDepartment of Radiology Kansai Medical University Hirakata Osaka Japan.ORCID https://orcid.org/0000-0002-3022-3833
Yuki TanakaDepartment of Radiology Kansai Medical University Hirakata Osaka Japan.ORCID https://orcid.org/0000-0002-7376-6897
Kanji SugiuraDepartment of Radiology Kansai Medical University Hirakata Osaka Japan.
Noboru TanigawaDepartment of Radiology Kansai Medical University Hirakata Osaka Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Radical cystectomy with pelvic lymph node dissection for muscle-invasive bladder cancer may be complicated by postoperative lymphatic leakage when high-output drainage persists despite conservative management. We describe treatment of diffuse lymphoascites after pelvic lymph node dissection using upstream lymphatic embolization. Case Presentation: A man in his 70s developed lymphatic leakage with drainage > 1000 mL/day after radical cystectomy and pelvic lymph node dissection. Lymphoscintigraphy showed bilateral iliac leakage with diffuse intraperitoneal spread, making local sclerotherapy unsuitable. Intranodal lymphangiography via bilateral inguinal nodes identified iliac lymphatic duct leaks. Upstream embolization with a N-butyl cyanoacrylate-ethiodized oil mixture through multiple inguinal nodes rapidly reduced drainage, allowing drain removal by day 4 and discharge by day 10 without persistent lymphedema. Conclusion: Upstream lymphatic embolization is a minimally invasive option for refractory high-output lymphatic leakage after pelvic lymph node dissection.

Indexed as

cystectomyembolizationlymphangiographyLymphorrheaurinary bladder neoplasms

Identifiers

PMID42368320
PMCPMC13296815

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.