Lymphocele of the kidney transplant bed: a case report
https://doi.org/10.20340/vmi-rvz.2023.2.TX.2
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.
About the Authors
L. T. Khamidova
N.V. Sklifosovsky Research Institute of Emergency Medicine
Russian Federation
Russian Federation
Layla T. Khamidova, Head of the Scientific Department of Radiation Diagnostics,
3 Bolshaya Sukharevskaya Square, Moscow, 129090
D. G. Avagyan
N.V. Sklifosovsky Research Institute of Emergency Medicine
Russian Federation
Russian Federation
Diana G. Avagyan, Ultrasound doctor of the Department of Radiation Diagnostics,
3 Bolshaya Sukharevskaya Square, Moscow, 129090
A. G. Balkarov
N.V. Sklifosovsky Research Institute of Emergency Medicine;
Pirogov Russian National Research Medical University;
Research Institute of Healthcare Organization and Medical Management Department of Health of the City of Moscow
Russian Federation
Russian Federation
Aslan G. Balkarov, Head of the Scientific Department of Kidney and Pancreas Transplantation, 3 Bolshaya Sukharevskaya Square, Moscow, 129090;
Associate Professor of the Department of Transplantology and Artificial Organs, 1 Ostrovityanova, Moscow, 117997;
Head of the organizational and methodological Department of transplantation, 9 Sharikopodshipnikovskaya, Moscow, 115088
I. V. Dmitriev
N.V. Sklifosovsky Research Institute of Emergency Medicine;
Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Il'ya V. Dmitriev, Head of the Clinical Department of Kidney and Pancreas Transplantation, 3 Bolshaya Sukharevskaya Square, Moscow, 129090;
Department of Transplantology and Artificial Organs, 1 Ostrovityanova, Moscow, 117997
Yu. A. Anisimov
N.V. Sklifosovsky Research Institute of Emergency Medicine
Russian Federation
Russian Federation
Yury A. Anisimov, Surgeon, Department of Kidney and Pancreas Transplantation, 3 Bolshaya Sukharevskaya Square, Moscow, 129090;
Department of Transplantology and Artificial Organs, 20, p. 1, Delegate, Moscow, 127473
M. Sh. Khubutiya
N.V. Sklifosovsky Research Institute of Emergency Medicine;
Research Institute of Healthcare Organization and Medical Management Department of Health of the City of Moscow;
Moscow State Medical and Dental University named after A.I. Evdokimov
Mogeli S. Khubutiya, Academician of the Russian Academy of Sciences, President of the Research Institute, Department of Kidney and Pancreas Transplantation, 3 Bolshaya Sukharevskaya Square, Moscow, 129090;
Head of the Department of Transplantology and Artificial Organs, 20, p. 1, Delegate, Moscow, 127473;
Organizational and methodological Department of transplantation, 9 Sharikopodshipnikovskaya, Moscow, 115088
References
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3. 3 Ektov DB, Valov AL, Molchanova EA. Diagnosis and surgical treatment of lymphocele after allogeneic cadaveric kidney transplantation in children. Bulletin of transplantology and artificial organs. 2018;20(S1):101. (In Russ.)
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Supplementary files
Review
For citations:
Khamidova L.T., Avagyan D.G., Balkarov A.G., Dmitriev I.V., Anisimov Yu.A., Khubutiya M.Sh. Lymphocele of the kidney transplant bed: a case report. Bulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH). 2023;13(2):117-121. (In Russ.) https://doi.org/10.20340/vmi-rvz.2023.2.TX.2
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