Dr Depika ( 1 st year pg ) , Dr Bupathy (professor) Dr Poomalar (professor), Dr llamathy (Assistant Professor)


Post operatrve vagrnal lymphorrea following TAH with BSO and pelvic lymph node dissection

Case report

56 year old female came with post menopausal bleeding and diagnosed to have carcinoma endometrium . TAH WITH BSO and pelvic lymph node dissection was done On POD 7 patrent complarnts of watery discharge from vagina Ureterovaginal and vesicovaginal fistula was ruled out by doing CT urogram Gadoilnium contract [VlRl was done which shows vaginal wall dehiscence communicating with multiple pelvic collections’ Following gadolinrum contrast patient symptoms decreased


Vaginal lymphorrea resolved following Gadolinium enhanced contrast MRI