Massive Lymphocele Associated with Allograft Hydronephrosis: An Ultrasound Case Study

POCUS J. 2022 Feb 1;7(Kidney):21-23. doi: 10.24908/pocus.v7iKidney.14992. eCollection 2022.

Abstract

Lymphocele is a lymphocyte-rich fluid collection that results from disruption of lymphatics in the recipient during renal transplantation. While small collections resolve spontaneously, larger, symptomatic ones may cause obstructive nephropathy requiring percutaneous or laparoscopic drainage. Prompt diagnosis using bedside sonography may obviate the need for renal replacement therapy. Herein, we present a case of a 72-year-old kidney transplant recipient who developed allograft hydronephrosis secondary to compression by a lymphocele.

Keywords: allograft; hydronephrosis; lymphocele; point of care ultrasound; renal transplant.

Publication types

  • Case Reports