[An accident related to a seat belt. Lymphocoele and extrinsic stenosis of the ureter in a transplant patient. Reparative surgery (author's transl)].
Trauma to a graft by a seat belt in a young adult, 18 months after transplantation. Drainage shortly after of a voluminous perirenal haematoma, abundant discharge of lymphorrhoea taking two months to resolve. Good recovery of the graft from both a radiological as well as biological standpoint. 4 years after the trauma, leucocytes in the urine associated with impairment of function of the graft. Discovery of a large hydronephrosis related to retro-peritoneal fibrosis. Ureterolysis with resection of the affected part of the ureter followed by anastomosis. Return to normal of renal function with disappearance of the hydronephrosis. Lymphocoele, a rare complication of renal transplantation, is discussed from three viewpoints: aetiopathology, diagnosis and treatment.
D000063:Accidents, Traffic; D000328:Adult; D003560:Cysts / Q000209:etiology* / Q000601:surgery; D006406:Hematoma / Q000209:etiology / Q000601:surgery; D006801:Humans; D007668:Kidney / Q000293:injuries; D007674:Kidney Diseases / Q000209:etiology / Q000601:surgery; D016030:Kidney Transplantation; D008196:Lymph; D008297:Male; D011183:Postoperative Complications; D012185:Retroperitoneal Fibrosis / Q000209:etiology / Q000601:surgery; D012622:Seat Belts / Q000009:adverse effects*; D014184:Transplantation, Homologous; D014517:Ureteral Obstruction / Q000209:etiology* / Q000601:surgery
Accident de la ceinture de sécurité Lymphocéle, sténose extrinsèque de l'uretère d'un transplant, chirurgie restauratrice