Lymphocele following Renal Graft Trauma

Pernthaler, H.; Schmid, H. H.; Sandbichler, P.; Margreiter, R

doi:10.1111/j.1464-410x.1991.tb15240.x

Cited by 7 publications

(4 citation statements)

References 2 publications

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“…Late lymphoceles, which develop several years afterkidney transplantation and are very rare. The cause of seven out of ten late lymphoceles reported in the literature [7,9,13,15,20,21,24,25,28,311 was diffuse leakage of lymph from the kidney surface due to a variety of reasons.…”

Section: Methodsmentioning

confidence: 99%

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The optimal treatment of lymphoceles following renal transplantation

et al. 1993

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Lymphoceles are well-recognized complications following kidney transplantation. The authors describe their experience with the treatment of eight clinically significant lymphoceles (incidence 2.7%). In seven patients percutaneous needle aspiration was attempted, often repeatedly, both for diagnostic and therapeutic purposes. In all of the patients the lymphocele recurred within days and internal marsupialization was therefore performed, in the last two patients utilizing minimal access surgery through laparoscopy. There were no postoperative complications or signs of a recurrence of the lymphocele. Patients following the laparoscopic marsupialization had a much briefer hospital stay and postoperative convalescence. Our results confirm that internal marsupialization is the procedure of choice for most post-transplant lymphoceles. Internal marsupialization through laparoscopy should be used in patients who meet the standard criteria for laparoscopy.

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Section: Methodsmentioning

confidence: 99%

“…Lymphoceles are well-recognized complications following kidney transplantation. They result from leakage of lymph from severed lymphatic channels around iliac vessels [2,5,16,23,32] or from interrupted lymphatics of the transplanted kidney [9,13,15,20,21,24,25,28,31] into the retroperitoneal space, where it accumulates.…”

Section: Introductionmentioning

confidence: 99%

The optimal treatment of lymphoceles following renal transplantation

et al. 1993

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“…Our review of the literature revealed 6 reported cases [2–7] of renal graft injury with salvage of the graft, so our patient was the seventh case. All the patients were male.…”

Section: Discussionmentioning

confidence: 88%

A case of traumatic renal graft rupture with salvage of renal function

Akabane

Ushiyama

Hirano

et al. 2001

Clinical Transplantation

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An 18-yr-old man received a kidney graft from a 60-yr-old female cadaver donor on February 8, 1996. Postoperative course was uneventful and his serum creatinine level was stable at about 1.8 mg/dL. On April 30, 1999, he collided with a truck while riding a motor cycle. Macroscopic hematuria was observed and CT showed an extensive retroperitoneal hematoma. Because his anemia and hypotension were becoming worse after transfusion of 9 units of blood, he was operated on as an emergency case. A large rupture reaching the pelvis and calyces was observed in the upper pole of the grafted kidney. There were also numerous shallow lacerations, but the major arteries and veins were not injured. The rupture was closed by suturing the renal parenchyma with the peritoneum, and the other shallow lacerations were closed by suturing the renal capsule. The kidney could be salvaged without requiring hemodialysis. The serum creatinine was maintained at 2.1 mg/dL during follow-up. A review of the literature showed that 6 cases of traumatic renal graft rupture with salvage of the kidney have been reported. Our present case was the seventh, and was the most severe graft rupture reported so far.

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“…They presumed that disrupted cap sular lymphatics were responsible for the lymph leak rath er than transected recipient iliac or donor renal hilar lym phatics. In support of this presumption, Pemthaler et al [32] and Roney and Wellington [33] individually reported cases of lymphoceles and periallograft hematomas after 2 patients sustained allograft trauma. In summary, the ori gin of the lymph which creates a post-renal transplant lymphocele is mostly due to disruption of recipient iliac lymphatics with variable contributions from transected hilar and disrupted capsular lymphatics.…”

Section: Originmentioning

confidence: 82%

An Interesting Case of Failed Renal Transplant Complicated by a Lymphocele Infected with Pasteurella multocida and a Review of the Literature

Mayo

Lipschutz

1996

Am J Nephrol

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Lymphoceles are a well-known complication of renal transplant surgery and can be asymptomatic or present with a variety of symptoms and complications. We describe a patient who presented with a Pasteurella multocida infection of a lymphocele which occurred 3 weeks after a course of penicillin for a cat bite and 10 months after a renal transplant nephrectomy. We also will review the incidence, predisposing factors, origin, symptomatology, diagnosis, complications, and treatments of post-renal transplant lymphoceles.

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Lymphocele following Renal Graft Trauma

Cited by 7 publications

References 2 publications

The optimal treatment of lymphoceles following renal transplantation

The optimal treatment of lymphoceles following renal transplantation

A case of traumatic renal graft rupture with salvage of renal function

An Interesting Case of Failed Renal Transplant Complicated by a Lymphocele Infected with Pasteurella multocida and a Review of the Literature

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