Post-kidney transplantation lymphocele due to a lymphatic filariasis.
Lymphocele is a well-known complication of renal transplantation. Presenting symptoms are nonspecific; most patients are entirely asymptomatic. Herein, we have reported a case of lymphocele due to an asymptomatic lymphatic Wuchereria bancrofti filariasis with deterioration of graft function. A 53-year-old man with end-stage renal disease secondary to vascular disease was admitted 40 days after transplantation with vague, isolated abdominal pain. An abdomen and pelvis ultrasound examination demonstrated a cystic structure in the renal hilus. Graft function deteriorated, so the patient underwent puncture of the lymphocele followed by povidone iodine sclerotherapy. In the percutaneous drainage, we noted a fine whitish strand 4-mm thick similar to the shape of the stent, a part of which seemed to go into the transplantation fossa. Parasitological examination showed an adult female worm of W bancrofti measuring 6 cm. The test for microfilaremia was negative. The patient was treated for 10 days with a combination of Ivermectin and Albendazole associated with Doxycycline. The collection rapidly decreased after worm treatment. This case describes a post-renal transplantation lymphocele due to asymptomatic lymphatic filariasis.
Derouiche
A
A
Department of Urology Charles Nicolle Hospital, Tunis, Tunisia.
El Atat
R
R
Mechri
M
M
Garbouj
N
N
Ezzeddine
A
A
Khaled
A
A
Chebil
M
M
D015766:Albendazole / Q000627:therapeutic use*; D000977:Antiparasitic Agents / Q000627:therapeutic use*; D004318:Doxycycline / Q000627:therapeutic use; D004322:Drainage / Q000379:methods; D004605:Elephantiasis, Filarial / Q000188:drug therapy / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007559:Ivermectin / Q000627:therapeutic use*; D007676:Kidney Failure, Chronic / Q000601:surgery*; D016030:Kidney Transplantation / Q000009:adverse effects*; D008210:Lymphocele / Q000188:drug therapy / Q000209:etiology* / Q000469:parasitology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed
D000977:Antiparasitic Agents; D007559:Ivermectin; D015766:Albendazole; D004318:Doxycycline