[Traumatic rupture of a kidney transplant in chronic lymphocele].

Abstract

The lymphocele is a seldom complication after kidney transplantation (2.2% of our patients). This manifestation occurs typically 3-4 months after transplantation, as a late complication it's a rarity. The rupture of a kidney graft because of a trauma is unique in our clinical experience, which contains more than 1200 kidney transplantations. We report the case of a 28-year-old man who had 19 years after transplantation a traumatic rupture of the kidney graft. Because of the trauma a preexistent chronic lymphocele got clinically manifest. The histology of the lymphocele wall shows fatty and collagen tissue with a strong fibrosis. The diagnostic and therapeutic procedure is described. There are different possible relations between the rare problems:--the tight lymphocele carries over the force on the graft--the lymphocele has grown together with the graft at the lower pole and ruptures in this place--a little graft rupture makes a clinical manifest bleeding in the lymphocele because the deficiency of perirenal tissue.

• Authors: A Kohler, H P Simmen, W Seelentag, F Largiadèr, O Trentz
• Journal: Langenbecks Archiv fur Chirurgie (Langenbecks Arch Chir) Vol. 377 Issue 4 Pg. 222-5 ( 1992) ISSN: 0023-8236 [Print] Germany
• Vernacular Title: Traumatische Ruptur eines Nierentransplantats in eine chronische Lymphozele.
• PMID: 1508010 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Adult
• Diagnosis, Differential
• Humans
• Kidney Diseases (pathology, surgery)
• Kidney Transplantation (pathology)
• Lymphocele (pathology, surgery)
• Magnetic Resonance Imaging
• Male
• Postoperative Complications (pathology, surgery)
• Reoperation
• Rupture, Spontaneous
• Vesico-Ureteral Reflux (pathology, surgery)