DIAGNOSIS AND TREATMENT OF LYMPHOCOELES ASSOCIATED WITH RENAL-TRANSPLANTATION - REPORT OF 6 CASES AND A REVIEW OF LITERATURE

Summary— Six patients have developed a lymphocoele after renal transplantation, an incidence of 4%. A lymphocoele should be suspected in a patient who develops a rising creatinine with a pelvic mass or pressure effects on the pelvic veins 1 or more months after operation. The diagnosis is confirmed by intravenous urography, venography and ultrasongraphy: the use of the latter as a diagnostic measure is recommended. Treatment is by marsupialisation into the peritoneum or external drainage with breakdown of all loculi. Aspiration is unsatisfactory. Copyright © 1978, Wiley Blackwell. All rights reserved