[Giant lymphocele after renal transplantation. Case report and bibliographic review].
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.
López García
Daniel
D
Servicio de Urología, Hospital Juan Canalejo, La Coruña, España. delnilopez@hotmail.com
Janeiro Pais
José Manuel
JM
González Dacal
Juan
J
Zarraonandía Andraca
Antón
A
Casas Agudo
Pastor
P
Martínez Breijo
Sara
S
Alvarez Castelo
Luis
L
Ruibal Moldes
Manuel
M
Chantada Abal
Venancio
V
González Martin
Marcelino
M
D000368:Aged; D005260:Female; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D008210:Lymphocele / Q000209:etiology* / Q000473:pathology