Large complicated lymphocele in renal transplant

Case contributed by Dr MohammadTaghi Niknejad

Presentation

Renal transplant about 20 days ago

Patient Data

Age: 25
Gender: Female

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. 

Case Discussion

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 ...

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Case Information

rID: 21203
Case created: 8th Jan 2013
Last edited: 11th Oct 2016
System: Urogenital
Inclusion in quiz mode: Included

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