LINFOCELE GIGANTE TRAS TRASPLANTE RENAL. A PROPÓSITO DE UN CASO Y REVISIÓN DE LA LITERATURA

Daniel López García, José Manuel Janeiro Pais, Juan González Dacal, Antón Zarraonandía Andraca, Pastor Casas Agudo, Sara Martínez Breijo, Luis Álvarez Castelo, Manuel Ruibal Moldes, Venancio Chantada Abal, Marcelino González Martín

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Archivos Españoles de Urología ›› 2009, Vol. 62 ›› Issue (5) : 399-403. DOI: 10.4321/S0004-06142009000500011
Case Report

LINFOCELE GIGANTE TRAS TRASPLANTE RENAL. A PROPÓSITO DE UN CASO Y REVISIÓN DE LA LITERATURA

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Abstract

OBJECTIVE: To report the case and the iconography of a lymphocele after renal transplantation and to review the literature about the diagnosis and treatment of this surgical complication.METHODS: 69 year-old woman who undergone renal transplantation and presented right lower extremity edema and worsening renal function. It was demonstrated by ultrasound and computerized tomography a liquid collection, compatible with lymphocele after biochemical study of the liquid which was obtained by percutaneous puncture.RESULTS: The patient underwent a laparoscopic intraperitoneal drainage of the lymphocele, with good surgical outcomes.CONCLUSION: Lymphocele is a common pathology after a renal transplantation, which needs to be treated depending on its clinical manifestations. There are mainly two therapeutic alternatives, depending on the size of the lymphocele: sclerotherapy and surgical intraperitoneal drainage. Apart from highly selected cases, laparoscopic approach is currently considered first choice when a surgical treatment is prescribed due to its security and effectiveness.

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Lymphocele / Renal transplantation / Laparoscopy

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Daniel López García , José Manuel Janeiro Pais , Juan González Dacal , Antón Zarraonandía Andraca , Pastor Casas Agudo , Sara Martínez Breijo , Luis Álvarez Castelo , Manuel Ruibal Moldes , Venancio Chantada Abal , Marcelino González Martín. LINFOCELE GIGANTE TRAS TRASPLANTE RENAL. A PROPÓSITO DE UN CASO Y REVISIÓN DE LA LITERATURA. Archivos Españoles de Urología. 2009, 62(5): 399-403 https://doi.org/10.4321/S0004-06142009000500011

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