Ultrasonographic Diagnosis of Infected Lymphocele after Kidney Transplantation

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

“…On the other hand, primary infections pre senting prior to instrumentation are uncommon. S. aur eus is reported four times in the literature as a pathogenic agent while other publications list no specific pathogen [8,15,45,46]. There are no cases in the literature reporting P. multocida as a lymphocele pathogen.…”

“…Though computed axial tomography, intravenous pyelogram, lymphoscintigraphy and lymphangiography have been used in the past, ultrasound is clearly the radiologic proce dure of choice [21,34,45,46,49], Though very useful, ultasound cannot make a definitive diagnosis because of its variable reliability in differentiating between lymphoccle, urinoma, seroma, abscess and hematoma. The defin itive diagnosis is made by demonstrating equal concentra tions of electrolytes, urea nitrogen and creatinine in both the lymphocele and the serum.…”