Massive Lymphocele Associated with Allograft Hydronephrosis: An Ultrasound Case Study
Harini Bejjanki,
Kawther F. Alquadan,
Abhilash Koratala
Affiliations
Harini Bejjanki
Division of Nephrology, Hypertension and Renal Transplantation, University of Florida, Gainesville, Florida, USA; University of Texas MD Anderson Cancer Center, Houston, Texas, USA
Kawther F. Alquadan
Division of Nephrology, Hypertension and Renal Transplantation, University of Florida, Gainesville, Florida, USA
Abhilash Koratala
Division of Nephrology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
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.
