title: [Giant lymphocele after renal transplantation. Case report and bibliographic review].
abstract: OBJECTIVE
  To report the case and the iconography of a lymphocele after renal transplantation and to review the literature about the diagnosis and treatment of this surgical complication.
  
  
  METHODS
  69 year-old woman who undergone renal transplantation and presented right lower extremity edema and worsening renal function. It was demonstrated by ultrasound and computerized tomography a liquid collection, compatible with lymphocele after biochemical study of the liquid which was obtained by percutaneous puncture.
  
  
  RESULTS
  The patient underwent a laparoscopic intraperitoneal drainage of the lymphocele, with good surgical outcomes.
  
  
  CONCLUSIONS
  Lymphocele is a common pathology after a renal transplantation, which needs to be treated depending on its clinical manifestations. There are mainly two therapeutic alternatives, depending on the size of the lymphocele: sclerotherapy and surgical intraperitoneal drainage. Apart from highly selected cases, laparoscopic approach is currently considered first choice when a surgical treatment is prescribed due to its security and effectiveness.
authors.affiliation: Servicio de Urología, Hospital Juan Canalejo, La Coruña, España. delnilopez@hotmail.com
authors.forename: Daniel
authors.initials: D
authors.lastname: López García
authors.forename: José Manuel
authors.initials: JM
authors.lastname: Janeiro Pais
authors.forename: Juan
authors.initials: J
authors.lastname: González Dacal
authors.forename: Antón
authors.initials: A
authors.lastname: Zarraonandía Andraca
authors.forename: Pastor
authors.initials: P
authors.lastname: Casas Agudo
authors.forename: Sara
authors.initials: S
authors.lastname: Martínez Breijo
authors.forename: Luis
authors.initials: L
authors.lastname: Alvarez Castelo
authors.forename: Manuel
authors.initials: M
authors.lastname: Ruibal Moldes
authors.forename: Venancio
authors.initials: V
authors.lastname: Chantada Abal
authors.forename: Marcelino
authors.initials: M
authors.lastname: González Martin
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D008210:Lymphocele / Q000209:etiology* / Q000473:pathology