Ces radiol. 2026, 80(2):76-81 | DOI: 10.55095/CesRadiol2026/017

Intranodal lymphangiography and embolization in the treatment of lymphatic leak and lymphocele in the groin and pelvis - single center experienceOriginal article

Theodor Adla¹, Karolína Mancová¹, Patrik Turza¹, Jozef Kučerák¹, Jaroslav Chlupáč^{2, 3}

¹ Pracoviště zobrazovacích metod, Institut klinické a experimentální medicíny, Praha

² Klinika transplantační chirurgie, Institut klinické a experimentální medicíny, Praha

³ Ústav anatomie, 2. lékařská fakulta Univerzity Karlovy, Praha Korespondenční adresa:

Adla T, Mancová K, Turza P, Kučerák J, Chlupáč J. Intranodal lymphangiography and embolization in the treatment of lymphatic leak and lymphocele in the groin and pelvis - single center experience



Aim: To evaluate the efficacy and safety of intranodal lymphangiography and embolization in the treatment of symptomatic lymphatic leak and lymphocele following vascular and transplant surgery in the groin and pelvic region.

Methods: Retrospective analysis of 69 patients (48 males, 21 females) who underwent intranodal lymphangiography and embolization between June 2022 and December 2025 was done. A total of 92 procedures were performed. Embolization was performed using a mixture of tissue glue (Histoacryl or Glubran 2) with Lipiodol Ultrafluide or using Lipiodol only.

Results: Complete regression of lymphatic leak/lymphocele was achieved in 62.3% of patients. Partial regression without the need for further intervention was observed in 10.1% of patients. Surgical revision for persistent leak or lymphocele was required in 16% of patients. Lymphography was not performed in one patient because no lymph nodes were found, and 2 patients were without further follow-up.

Conclusion: Intranodal lymphangiography with embolization represents an effective

minimally invasive method for the treatment of lymphatic leak and lymphocele with a success rate exceeding 60%.

Keywords: interventional radiology, lymphangiography, lymphatic leak, lymphocele, intranodal embolization.

Accepted: March 7, 2026; Published: July 1, 2026  Show citation