title: CEUS Retrograde Cystography Is Helpful in Percutaneous Drainage of Complex Posttransplant Lymphocele.
abstract: After monolateral dual kidney transplantation, a 69 years old male patient developed symptomatic lymphocele with mild hydroureteronephrosis, impaired renal function, and right inferior limb oedema. A percutaneous ultrasound-guided drainage of the fluid collection was planned, but the complex mutual relations between the collection and the renal hilus did not allow to identify a suitable route for a safe drainage insertion during conventional ultrasound examination. A retrograde cystography using echographic contrast agent was, therefore, performed, and it clarified the position of both ureters and the renal vessels, permitting an harmless ultrasound-guided percutaneous lymphocele drainage. In conclusion contrast-enhanced ultrasound retrograde cystography may be helpful in percutaneous drainage of complex posttransplant lymphocele.
authors.affiliation: Department of General Surgery and Organ Transplantation, San Martino University Hospital, Largo Rosanna Benzi 10, 16132 Genoa, Italy.
authors.forename: Stefano
authors.initials: S
authors.lastname: Di Domenico
authors.forename: Valentina
authors.initials: V
authors.lastname: Patti
authors.forename: Federico
authors.initials: F
authors.lastname: Fazio
authors.forename: Elisabetta
authors.initials: E
authors.lastname: Moggia
authors.forename: Iris
authors.initials: I
authors.lastname: Fontana
authors.forename: Umberto
authors.initials: U
authors.lastname: Valente