Fig. 1. A 54-year-old woman with lymphocele.

A. Transvaginal ultrasonography shows a 12-cm infected lymphocele (asterisk) divided into multiple chambers with septa. Aspiration was impossible via the transvaginal approach because a bowel loop (arrow) was interposed between the vagina and the lymphocele. B. Transabdominal ultrasonography shows an 18-gauge aspiration needle (open arrows), which is clearly visible from the needle tip to the skin entry. The amount of aspirated pus was only 60 mL because multiple septa (asterisk) were present.