Post-transplant lymphocele: an unusual cause of acute urinary retention mimicking urethral injury.
Retroperitoneal pelvic lymphoceles are one of the most common complications following renal transplantation, and usually present with a palpable mass, ipsilateral leg edema, hydronephrosis caused by ureteral obstruction, decreased renal function and cutaneous lymphatic fistula. However, lymphocele rarely causes acute urinary retention. In this study, we describe a case of a patient who developed acute urinary retention after renal transplantation mimicking urethral injury. When a transplanted patient demonstrates the inability to void, one should consider bladder outlet obstruction resulting from lymphocele as a possible cause.
Hwang
Eu Chang
EC
Department of Urology, Chonnam National University Medical School, Gwangju, Korea.
Kang
Taek Won
TW
Koh
Yang Seok
YS
Kim
Jung Chul
JC
Ma
Seong-Kwon
SK
Kwon
Dong Deuk
DD
Park
Kwangsung
K
Ryu
Soo Bang
SB
D000208:Acute Disease; D000328:Adult; D003937:Diagnosis, Differential; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D008210:Lymphocele / Q000150:complications* / Q000175:diagnosis; D008297:Male; D010388:Pelvis; D011183:Postoperative Complications; D012187:Retroperitoneal Space; D014057:Tomography, X-Ray Computed; D014521:Urethra / Q000293:injuries*; D014522:Urethral Diseases / Q000175:diagnosis*; D016055:Urinary Retention / Q000175:diagnosis / Q000209:etiology*; D014567:Urography