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Posttransplant lymphocele presenting as 'acute abdomen'
R Indudhara1, M Menon, R B Khauli
1Division of Urologic and Transplantation Surgery, University of Massachusetts Medical Center, Worcester 01655.
American Journal of Nephrology
|January 1, 1994
Summary
Infected lymphoceles after renal transplantation can cause severe complications like peritonitis. Prompt diagnosis and percutaneous drainage with antibiotics are crucial for patient recovery.
Area of Science:
- Nephrology
- Transplantation Surgery
- Infectious Diseases
Background:
- Lymphoceles are common, often asymptomatic, post-renal transplant fluid collections.
- Complications include mass effect, lymphocutaneous fistula, or infection.
Observation:
- A patient presented with septicemia and peritonitis 4.5 months post-cadaveric renal transplant.
- Initial laparoscopy and laparotomy did not reveal intra-abdominal pathology.
Findings:
- A large perigraft lymphocele was identified and percutaneously drained.
- Cultures identified Staphylococcus aureus, indicating an infected lymphocele.
Implications:
- This case highlights infected lymphocele as a cause of peritonitis in renal transplant recipients.
- Early recognition and intervention, including drainage and antibiotics, are vital for successful outcomes.