Resumo

LOPEZ GARCIA, Daniel et al. Giant lymphocele after renal transplantation: Case report and bibliographic review. Arch. Esp. Urol. [online]. 2009, vol.62, n.5, pp.399-403. ISSN 0004-0614.

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.

Palavras-chave : Lymphocele; Renal transplantation; Laparoscopy.

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