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Archivos Españoles de Urología (Ed. impresa)

Print version ISSN 0004-0614


LOPEZ GARCIA, Daniel et al. Lymphocele after renal transplantation: Case report and bibliographic review. Arch. Esp. Urol. [online]. 2009, vol.62, n.8, pp.667-671. ISSN 0004-0614.

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 the rapeutic 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.

Keywords : Lymphocele; Renal transplantation.

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