[Lymphocele after renal transplantation: case report and bibliographic review].

Autor:	López García D; Servicio de Urología, Hospital Juan Canalejo, La Coruña, España. delnilopez@hotmail.com, Janeiro Pais JM, González Dacal J, Zarraonandía Andraca A, Casas Agudo P, Martínez Breijo S, Alvarez Castelo L, Ruibal Moldes M, Chantada Abal V, González Martín M
Jazyk:	Spanish; Castilian
Zdroj:	Archivos espanoles de urologia [Arch Esp Urol] 2009 Oct; Vol. 62 (8), pp. 667-71.
DOI:	10.4321/s0004-06142009000800012
Abstrakt:	Objectives: To report the case and iconography of a lymphocele after renal transplantation and to review the literature about the diagnosis and the treatment of this surgical complication. Methods: 69 year-old woman status post renal transplantation who presents right lower extremity edema and worsening renal function. A liquid collection was demonstrated by ultrasound and computerized tomography, compatible with lymphocele after biochemical study of the liquid obtained by percutaneous puncture. Results: The patient underwent laparoscopic intraperitoneal drainage of the lymphocele, with good surgical outcome. Conclusion: Lymphocele is a common pathology after a renal transplantation which needs to be treated depending on its clinical manifestations. There mainly are two therapeutic alternatives depending on the size of the lymphocele: sclerotherapy and surgical intraperitoneal drainage. Apart from very selected cases, laparoscopic approach is currently considered, because of its security and effectiveness, the first choice when a surgical treatment is prescribed.
Databáze:	MEDLINE
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