Lymphoceles Following Renal Transplantation

Schweizer, Robert T.; Cho, Sang-In; Kountz, Samuel L.; Beizer, Folkert O.

doi:10.1001/archsurg.1972.04180010036010

Cited by 84 publications

(27 citation statements)

References 12 publications

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“…At the Mayo clinic, the most common presentation of patients with lymphoceles was elevated serum creatinine [45]. This was also clear in the series of Schweizer et al [46]. …”

Section: Resultsmentioning

confidence: 87%

Pseudorejection and True Rejection after Kidney Transplantation: Classification and Clinical Significance

Khater

Khauli²

2012

Urol Int

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Objectives: Multiple factors may result in an elevation in serum creatinine level after kidney transplantation, mimicking rejection. It is crucial to differentiate between a true rejection and other conditions inducing a ‘pseudorejection', in order to avoid overtreatment, or worse, mistreatment. Our goal was to review and classify true rejections and pseudorejections and their clinical significance. Material and Methods: This was a retrospective review of articles published in the USA and Europe, from 1976 to the present. The sites from which information was retrieved included PubMed, Clinical Imaging, Histopathology, Archives of Surgery, JACS, the American Urological Association, Medline and Springer Link. The importance of the resistive index will also be emphasized. Results: We reviewed 61 articles regarding the causes of renal graft dysfunction, which may be classified into true rejections and pseudorejections, the latter including the following 6 factors: hyperglycemia, ureteral obstruction, lymphocele, arterial stenosis, infection and recurrence of primary pathology. Conclusions: ‘Pseudorejection' has been described only once, for the first time in 1976 in the USA, and there have been no other reports since then. Multiple factors, mainly hyperglycemia, may induce a pseudorejection, presenting with an elevation of serum creatinine level and leading the clinician to an erroneous diagnosis of true rejection initially, resulting in inappropriate management.

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“…At the Mayo clinic, the most common presentation of patients with lymphoceles was elevated serum creatinine [45]. This was also clear in the series of Schweizer et al [46]. …”

Section: Resultsmentioning

confidence: 87%

Pseudorejection and True Rejection after Kidney Transplantation: Classification and Clinical Significance

Khater

Khauli²

2012

Urol Int

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“…Patients without any symptoms are not usually given any treatment. Types of treatments for symptomatic lymphoceles include recurrent percutaneous aspiration of lymphatic fluid [4,12], percutaneous drainage [13], sclerosing substance administration [12,14], and surgical internal drainage into the peritoneal cavity. Infected lymphoceles should never be drained into the abdominal cavity because of potentially mortal consequences for the immunosuppressed patient.…”

Section: Discussionmentioning

confidence: 99%

“…A post-transplant lymphocele represents a perigraft fluid aggregation occurring after the renal bed or the graft has been prepared; it is not the reason for urinary leakage or haemorrhage. Micro or macro graft kidney decapsulation leads to non-ligation between afferent lymphatic vessels and iliac vessels [4,5]. Furthermore, lymphoceles may be triggered by the administration of powerful diuretics following a kidney transplant, increasinglymphatic flow [6,7].…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Fenestration of Posttransplant Lymphoceles: A Report of Three Cases

2017

Ann Clin Anal Med

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ÖzLenfosel semptomatik olgularda etkili bir şekilde tedavi edilmelidir. Perkütan aspirasyon, perkütan drenaj ve skleroterapi tedavi alternatifleridir. Konvansiyonel veya laparoskopik olarak intraperitoneal kaviteye internal drenaj cerrahi yönetim-de gerçekleştirilebilir. Biz lenfoselin laparoskopik tedavisini üç olgu ile sunuyoruz. Anahtar KelimelerPosttranplant Lenfosel; Fenestration; Laparoskopi; Minimal İnvaziv; Böbrek Nakli Abstract Lymphoceles have to be treated efficiently when symptoms are present. Percutaneous aspiration, percutaneous drainage, and sclerotherapy are therapeutic alternatives. Conventional or laparoscopic internal drainage surgical management can be performed to the intraperitoneal cavity. We present three cases of the laparoscopic treatment of lymphoceles.

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“…The reported incidence of lymphocele following kidney transplantation ranges between 0.6 to 18% and may result in a significant morbidity [1].…”

Section: Discussionmentioning

confidence: 99%

“…The development of a lymphocele after kidney transplantation is a well-recognised complication [1]. Though a variety of non-operative methods are available, laparotomy with transperitoneal internal drainage remains the gold standard for the treatment of lymphocele [2].…”

Section: Introductionmentioning

confidence: 99%