title: Massive Ascites in a Renal Transplant Patient after Laparoscopic Fenestration of a Lymphocele.
abstract: Retroperitoneal lymphocele is a common complication of renal transplantation. Here, we report the case of a 67-year-old woman with massive ascites after fenestration surgery for a lymphocele that developed following renal transplantation. She had been on continuous ambulatory peritoneal dialysis for 9 years. Living donor renal transplantation was performed and an intrapelvic lymphocele subsequently developed. The lymphocele did not resolve after aspiration therapy; therefore, laparoscopic fenestration was performed. Although the lymphocele disappeared, massive ascites appeared in its stead. Half a year later, the ascites was surgically punctured, which then gradually resolved and disappeared 6 weeks later. Aspiration therapy should be considered in patients on long-term peritoneal dialysis, although laparoscopic fenestration is safe and effective.
authors.affiliation: Department of Urology, Toyama Prefectural Central Hospital, Toyama, Japan.
authors.forename: Shohei
authors.identifier: 0000-0001-6847-9861
authors.initials: S
authors.lastname: Kawaguchi
authors.affiliation: Department of Integrative Cancer Therapy and Urology, Kanazawa University Graduate School of Medical Science, Kanazawa, Japan.
authors.forename: Takahiro
authors.initials: T
authors.lastname: Nohara
authors.affiliation: Department of Urology, Toyama Prefectural Central Hospital, Toyama, Japan.
authors.forename: Takashi
authors.initials: T
authors.lastname: Shima
authors.affiliation: Department of Integrative Cancer Therapy and Urology, Kanazawa University Graduate School of Medical Science, Kanazawa, Japan.
authors.forename: Satoko
authors.initials: S
authors.lastname: Matsuyama
authors.affiliation: Department of Internal Medicine, Toyama Prefectural Central Hospital, Toyama, Japan.
authors.forename: Chikako
authors.initials: C
authors.lastname: Nose
authors.affiliation: Department of Internal Medicine, Toyama Prefectural Central Hospital, Toyama, Japan.
authors.forename: Junya
authors.initials: J
authors.lastname: Yamahana
authors.affiliation: Department of Integrative Cancer Therapy and Urology, Kanazawa University Graduate School of Medical Science, Kanazawa, Japan.
authors.forename: Yoshifumi
authors.identifier: 0000-0001-5780-4032
authors.initials: Y
authors.lastname: Kadono
authors.affiliation: Department of Urology, Toyama Prefectural Central Hospital, Toyama, Japan.
authors.forename: Chikashi
authors.initials: C
authors.lastname: Seto
authors.affiliation: Department of Internal Medicine, Toyama Prefectural Central Hospital, Toyama, Japan.
authors.forename: Masahiko
authors.initials: M
authors.lastname: Kawabata
authors.affiliation: Department of Integrative Cancer Therapy and Urology, Kanazawa University Graduate School of Medical Science, Kanazawa, Japan.
authors.forename: Atsushi
authors.initials: A
authors.lastname: Mizokami