The diagnosis and treatment of lymphocoeles associated with renal transplantation. A report of 6 cases and a review of the literature.
Six patients have developed a lymphocoele after renal transplantation, an incidence of 4%. A lymphocoele should be suspected in a patient who develops a rising creatinine with a pelvic mass or pressure effects on the pelvic veins 1 or more months after operation. The diagnosis is confirmed by intravenous urography, venography and ultrasonography: the use of the latter as a diagnostic measure is recommended. Treatment is by marsupialisation into the peritoneum or external drainage with breakdown of all loculi. Aspiration is unsatisfactory.
D000005:Abdomen; D000328:Adult; D003560:Cysts / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D005260:Female; D006801:Humans; D016030:Kidney Transplantation; D008196:Lymph; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D014184:Transplantation, Homologous