Lymphocele of the kidney transplant bed: a case report

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...

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Main Authors: L. T. Khamidova, D. G. Avagyan, A. G. Balkarov, I. V. Dmitriev, Yu. A. Anisimov, M. Sh. Khubutiya
Format: Article
Language:Russian
Published: Private institution educational organization of higher education "Medical University "ReaViz" 2023-05-01
Series:Вестник медицинского института «Реавиз»: Реабилитация, врач и здоровье
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Online Access:https://vestnik.reaviz.ru/jour/article/view/688
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author L. T. Khamidova
D. G. Avagyan
A. G. Balkarov
I. V. Dmitriev
Yu. A. Anisimov
M. Sh. Khubutiya
author_facet L. T. Khamidova
D. G. Avagyan
A. G. Balkarov
I. V. Dmitriev
Yu. A. Anisimov
M. Sh. Khubutiya
author_sort L. T. Khamidova
collection DOAJ
description 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.
format Article
id doaj-art-059c14c5db73497390a5affbff910665
institution Kabale University
issn 2226-762X
2782-1579
language Russian
publishDate 2023-05-01
publisher Private institution educational organization of higher education "Medical University "ReaViz"
record_format Article
series Вестник медицинского института «Реавиз»: Реабилитация, врач и здоровье
spelling doaj-art-059c14c5db73497390a5affbff9106652025-08-20T03:59:12ZrusPrivate institution educational organization of higher education "Medical University "ReaViz"Вестник медицинского института «Реавиз»: Реабилитация, врач и здоровье2226-762X2782-15792023-05-0113211712110.20340/vmi-rvz.2023.2.TX.2427Lymphocele of the kidney transplant bed: a case reportL. T. Khamidova0D. G. Avagyan1A. G. Balkarov2I. V. Dmitriev3Yu. A. Anisimov4M. Sh. Khubutiya5N.V. Sklifosovsky Research Institute of Emergency MedicineN.V. Sklifosovsky Research Institute of Emergency MedicineN.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 MoscowN.V. Sklifosovsky Research Institute of Emergency Medicine; Pirogov Russian National Research Medical UniversityN.V. Sklifosovsky Research Institute of Emergency MedicineN.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. EvdokimovLymphocele 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.https://vestnik.reaviz.ru/jour/article/view/688clinically significant lymphoceleultrasound diagnosticskidney transplantationclinical observation
spellingShingle L. T. Khamidova
D. G. Avagyan
A. G. Balkarov
I. V. Dmitriev
Yu. A. Anisimov
M. Sh. Khubutiya
Lymphocele of the kidney transplant bed: a case report
Вестник медицинского института «Реавиз»: Реабилитация, врач и здоровье
clinically significant lymphocele
ultrasound diagnostics
kidney transplantation
clinical observation
title Lymphocele of the kidney transplant bed: a case report
title_full Lymphocele of the kidney transplant bed: a case report
title_fullStr Lymphocele of the kidney transplant bed: a case report
title_full_unstemmed Lymphocele of the kidney transplant bed: a case report
title_short Lymphocele of the kidney transplant bed: a case report
title_sort lymphocele of the kidney transplant bed a case report
topic clinically significant lymphocele
ultrasound diagnostics
kidney transplantation
clinical observation
url https://vestnik.reaviz.ru/jour/article/view/688
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AT dgavagyan lymphoceleofthekidneytransplantbedacasereport
AT agbalkarov lymphoceleofthekidneytransplantbedacasereport
AT ivdmitriev lymphoceleofthekidneytransplantbedacasereport
AT yuaanisimov lymphoceleofthekidneytransplantbedacasereport
AT mshkhubutiya lymphoceleofthekidneytransplantbedacasereport