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Posttransplant Lymphocele Presenting as ‘Acute Abdomen’

 

作者: Ramaiah Indudhara,   Mani Menon,   Raja B. Khauli,  

 

期刊: American Journal of Nephrology  (Karger Available online 1994)
卷期: Volume 14, issue 2  

页码: 154-156

 

ISSN:0250-8095

 

年代: 1994

 

DOI:10.1159/000168706

 

出版商: S. Karger AG

 

关键词: Kidney transplantation;complications;Lymphocele Peritonitis

 

数据来源: Karger

 

摘要:

Lymphoceles occurring after renal transplantation are frequently asymptomatic and are usually identified on routine ultrasonogrpahy of the allograft. A small percentage of them may increase in size and manifest due to their compression effects on adjacent structures or as lymphocutaneous fistula. An infected lymphocele would, in addition, give rise to local and systemic features. A case of infected lymphocele occurring 4.5 months after cadaveric renal transplant is reported. The patient presented in septicemia and features of generalized peritonitis. Emergency diagnostic laparoscopy revealed fluid collection in the peritoneal cavity. However, on exploratory laparotomy no intra-abdominal pathology was detected. Further evaluation revealed a large perigraft lymph collection which was drained percutaneously. Fluid and blood cultures grew Staphylococcus aureus. The patient recovered completely following external drainage and antibiotic administration.

 

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