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Linfocele gigante tras trasplante renal: A propósito de un caso y revisión de la literaturaDOI: 10.4321/S0004-06142009000800012 Keywords: lymphocele, renal transplantation. Abstract: objectives: to report the case and iconography of a lymphocele after renal transplantation and to review the literature about the diagnosis and the treatment of this surgical complication. methods: 69 year-old woman status post renal transplantation who presents right lower extremity edema and worsening renal function. a liquid collection was demonstrated by ultrasound and computerized tomography, compatible with lymphocele after biochemical study of the liquid obtained by percutaneous puncture. results: the patient underwent laparoscopic intraperitoneal drainage of the lymphocele, with good surgical outcome. conclusion: lymphocele is a common pathology after a renal transplantation which needs to be treated depending on its clinical manifestations. there mainly are two the rapeutic alternatives depending on the size of the lymphocele: sclerotherapy and surgical intraperitoneal drainage. apart from very selected cases, laparoscopic approach is currently considered, because of its security and effectiveness, the first choice when a surgical treatment is prescribed.
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