Lymphocele of the kidney transplant bed: a case report

Abstract

Lymphocele formation in the kidney transplant bed is the most common postoperative complication after kidney transplantation. The article presents the observation of a clinically significant lymphocele of the kidney transplant bed.Materials and methods. Allogeneic heterotopic kidney transplantation from a post-mortem donor was performed in a 28-year-old patient with a clinical diagnosis of stage 5 chronic kidney disease as a result of a congenital anomaly of kidney development.Results. The early postoperative period was complicated by the development of a clinically significant lymphocele of the kidney transplant bed, which caused compression of the ureter of the kidney graft with impaired passage of urine and expansion of its pelvicalyceal system, as well as compression of the external iliac vein. The treatment carried out in the amount of laparoscopic drainage of the lymphocele into the abdominal cavity by means of capillary drainage under ultrasound control contributed to the elimination of the complication and its consequences.Conclusion. Ultrasound examination is a routine examination that allows timely diagnosis of a kidney transplant bed lymphocele and monitoring the effectiveness of the treatment.