Sigmoid Colon Perforation into an Infected Pelvic Lymphocele after Pelvic Lymphadenectomy and Radiotherapy for Recurrent Endometrial Cancer: a Rare Diagnostic and Therapeutic Challenge.

INTRODUCTION

Lymphocele formation is a common complication after pelvic lymphadenectomy and is usually asymptomatic. In rare cases, secondary infection may occur and lead to severe complications.

CASE REPORT: We report the case of a 64-year-old woman who developed an infected pelvic lymphocele complicated by perforation of the sigmoid colon following pelvic lymphadenectomy and radiotherapy for endometrial cancer recurrence. The patient required emergency surgery, followed by targeted antimicrobial and antifungal therapy, which resulted in favorable clinical outcomes.

CONCLUSION

This case highlights a rare but life-threatening complication of pelvic lymphocele, emphasizing the importance of early recognition and timely surgical management.