Large complicated lymphocele in renal transplant
Renal transplant about 20 days ago
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Non-contrast CT scan shows large hypoattenuating collections with thin septations compressing renal graft. A post-transplant ureteric stent is well visualised with the distal end in an empty bladder displaced by the large pelvic lymphocele.
The findings of CT after 20 days of renal transplant in a 25 Y/O patient is compatible with large complicated lymphocele.
Perinephric fluid collections complicating a renal transplant are caused by :
- lymphocele : most common , occurring within 2 to 3 weeks after transplant
- urinoma : can occur at any time due to anastomotic leak or vascular injury
- haematoma : higher CT density
- abscess : may contain gas ...