Treatment of lymphocele in renal allograft recipients
B. M. Greenberg, L. J. Perloff, R. A. Grossman, A. Naji and C. F. Barker
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.
