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Burt M. Greenberg, MD; Leonard J. Perloff, MD; Robert A. Grossman, MD; Ali Naji, MD; Clyde F. Barker, MD

Arch Surg. 1985;120(4):501-504.

Abstract
• Retroperitoneal lymphoceles developed in 12 renal allograft recipients during the last nine years. The interval between transplantation and the development of symptoms averaged seven months. The specific syndrome suggesting the presence of a lymphocele included lower abdominal swelling, weight gain, and, occasionally, fever without an obvious source of infection. Although these symptoms mimicked allograft rejection, diagnosis was easily made by ultrasound and intravenous pyelogram. Surgical marsupialization of the lymphocele with drainage into the peritoneal cavity proved to be an effective treatment.

(Arch Surg 1985;120:501-504)

Author Affiliations
From the Departments of Surgery (Drs Greenberg, Perloff, Naji, and Barker) and Medicine (Dr Grossman), and the Harrison Department of Surgical Research (Drs Perloff, Naji, and Barker), University of Pennsylvania, Philadelphia.

Footnotes
Accepted for publication Aug 6, 1984.

Reprint requests to Department of Surgery, Hospital of University of Pennsylvania, 3400 Spruce St, Philadelphia, PA 19104 (Dr Perloff).

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