Lymphocele following renal transplantation
Baumgartner, D.; Largiadèr, F.; Uhlschmid, G.; Binswanger, U.
Der Chirurg; Zeitschrift für Alle Gebiete der Operativen Medizen 47(2): 88-92
1976
ISSN/ISBN: 0009-4722 PMID: 786568 Document Number: 108601
Lymphoceles as seen after renal transplantation are cystic swellings filled with lymph, situated beneath the lower end of the transplant on the iliac vessels. It seems that the lymph originates from lymphatics cut during operation. 5 such cases have been seen in our series of 268 renal allotransplantations. Symptoms arose 1 to 6 months after transplantation. According to our own experience and to 39 cases of the literature, deterioration of renal function because of compression of the ureter is the most common symptom. Therefore, intravenous pyelography is the main diagnostic means. Some cysts can be visualized by lymphangiography. Marsupialisation to the peritoneal cavity is the treatment of choice.