Korean J Transplant.
2023 Nov;37(Suppl 1):S162. 10.4285/ATW2023.F-7467.
Successful treatment of symptomatic lymphocele after kidney transplantation
- Affiliations
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- 1Department of Nephrology, Chonbuk National University Hospital, Jeonju, Korea
- 2Department of Surgery, Chonbuk National University Hospital, Jeonju, Korea
- KMID: 2551782
- DOI: http://doi.org/10.4285/ATW2023.F-7467
Abstract
- Lymphocele after kidney transplantation is one of the most common surgical complications with total incidence of 0.6% to 51%, and symptomatic in 5% of the cases. It is defined as lymphatic fluid collection resulting from the disruption of lymphatics in the recipient or lymph leak from the donor kidney, which usually occurs 2 weeks to 6 months after kidney transplantation. Most lymphoceles are asymptomatic and incidentally diagnosed during routine ultrasound examinations. Symptomatic lymphoceles, however, not only cause pain and discomfort, but also may result in graft dysfunction due to mass effect, so treatment is essential. Treatment consists of aspiration or drainage, surgical intervention, or embolization. Here, we present two cases of successful treatment of refractory lymphocele by lymphangiography and embolization, which is nowadays considered as minimally invasive and effective therapeutic procedure.
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