Renal allograft dysfunction secondary to recurrent perigraft lymphatic collection managed with percutaneous sclerotherapy with povidone iodine

Abstract

Lymphatic leak and lymphocele are well-known complications after renal transplantation, occurring among one-fourth of the recipients. We present a case of 42 year old male who underwent renal transplantation and developed recurrent perigraft collection causing hydronephrosis and rise in serum creatinine. Biochemical analysis of the fluid confirmed lymphocele. Successful treatment was done by ultrasound guided percutaneous catheter placement and instillation of 0.5% povidone iodine for 15 days. Percutaneous drainage catheter placement and sclerotherapy with 0.5% povidone-iodine is safe and effective for treatment lymphoceles and lymphatic leaks in renal allograft recipient.

Keywords

• Lymphocele
• Graft dyfunction
• Percutaneous catherter drainage
• Providone iodine
• Sclerotherapy