title: A simple method to treat post-kydney transplantation lymphocele.
abstract: To describe our experience with ultrasonic-guided instillation of povidone-iodine to treat post-kidney transplantation lymphocele. Patients and methods. We studied the safety and efficacy of this procedure for treatment of lymphocele in 6 male kidney transplanted recipients in which we assisted a progressive increase of creatinine and urinary proteins levels and color-Doppler ultrasonography demonstrated an increase (25,4%) of index of resistence (IR) Using eco-colorDoppler, the related-graft lymphocele location and the distance to the anterior abdominal wall were determined; then, a radiopaque double-lumen catheter was used to instillate 5% povidone-iodine 10 ml. Results. Percutaneous drainage achieved a resolution rate of 100%. Studying the rate of peripheral and internal vascularization of the kidney before and after treatment, eco-colorDoppler showed a significant decrease of the IR (24,6%). Conclusions. The US-guided povidone-iodine instillation for treatment of lymphocele following renal transplantation may be considered as first choice therapy in such disease.
authors.affiliation: University of Palermo-AOUP P. Giaccone, Italy Renal Transplant Unit.
authors.forename: G
authors.initials: G
authors.lastname: Damiano
authors.forename: C
authors.initials: C
authors.lastname: Lombardo
authors.forename: V D
authors.initials: VD
authors.lastname: Palumbo
authors.forename: D
authors.initials: D
authors.lastname: Buffa
authors.forename: C
authors.initials: C
authors.lastname: Maione
authors.forename: M C
authors.initials: MC
authors.lastname: Gioviale
authors.forename: F
authors.initials: F
authors.lastname: Cacciabaudo
authors.forename: G
authors.initials: G
authors.lastname: Spinelli
authors.forename: C
authors.initials: C
authors.lastname: Calvagna
authors.forename: A I
authors.initials: AI
authors.lastname: Lo Monte
mesh_terms: D000328:Adult; D006801:Humans; D007322:Instillation, Drug; D016030:Kidney Transplantation / Q000009:adverse effects*; D008210:Lymphocele / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011206:Povidone-Iodine / Q000008:administration & dosage*; D012597:Sclerosing Solutions / Q000008:administration & dosage*; D015911:Sclerotherapy; D014463:Ultrasonography
chemical_list: D012597:Sclerosing Solutions; D011206:Povidone-Iodine