[Traumatic rupture of a kidney transplant in chronic lymphocele].
The lymphocele is a seldom complication after kidney transplantation (2.2% of our patients). This manifestation occurs typically 3-4 months after transplantation, as a late complication it's a rarity. The rupture of a kidney graft because of a trauma is unique in our clinical experience, which contains more than 1200 kidney transplantations. We report the case of a 28-year-old man who had 19 years after transplantation a traumatic rupture of the kidney graft. Because of the trauma a preexistent chronic lymphocele got clinically manifest. The histology of the lymphocele wall shows fatty and collagen tissue with a strong fibrosis. The diagnostic and therapeutic procedure is described. There are different possible relations between the rare problems:--the tight lymphocele carries over the force on the graft--the lymphocele has grown together with the graft at the lower pole and ruptures in this place--a little graft rupture makes a clinical manifest bleeding in the lymphocele because the deficiency of perirenal tissue.
Kohler
A
A
Departement Chirurgie, Universitätsspital Zürich.
Simmen
H P
HP
Seelentag
W
W
Largiadèr
F
F
Trentz
O
O
D000328:Adult; D003937:Diagnosis, Differential; D006801:Humans; D007674:Kidney Diseases / Q000473:pathology / Q000601:surgery*; D016030:Kidney Transplantation / Q000473:pathology; D008210:Lymphocele / Q000473:pathology / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D011183:Postoperative Complications / Q000473:pathology / Q000601:surgery*; D012086:Reoperation; D012422:Rupture, Spontaneous; D014718:Vesico-Ureteral Reflux / Q000473:pathology / Q000601:surgery*
Traumatische Ruptur eines Nierentransplantats in eine chronische Lymphozele.