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CEUS Retrograde Cystography Is Helpful in Percutaneous Drainage of Complex Posttransplant Lymphocele.

Di Domenico S, Patti V, Fazio F, Moggia E, Fontana I, Valente U - Case Rep Urol (2012)

Bottom Line: After monolateral dual kidney transplantation, a 69 years old male patient developed symptomatic lymphocele with mild hydroureteronephrosis, impaired renal function, and right inferior limb oedema.A percutaneous ultrasound-guided drainage of the fluid collection was planned, but the complex mutual relations between the collection and the renal hilus did not allow to identify a suitable route for a safe drainage insertion during conventional ultrasound examination.A retrograde cystography using echographic contrast agent was, therefore, performed, and it clarified the position of both ureters and the renal vessels, permitting an harmless ultrasound-guided percutaneous lymphocele drainage.

View Article: PubMed Central - PubMed

Affiliation: Department of General Surgery and Organ Transplantation, San Martino University Hospital, Largo Rosanna Benzi 10, 16132 Genoa, Italy.

ABSTRACT
After monolateral dual kidney transplantation, a 69 years old male patient developed symptomatic lymphocele with mild hydroureteronephrosis, impaired renal function, and right inferior limb oedema. A percutaneous ultrasound-guided drainage of the fluid collection was planned, but the complex mutual relations between the collection and the renal hilus did not allow to identify a suitable route for a safe drainage insertion during conventional ultrasound examination. A retrograde cystography using echographic contrast agent was, therefore, performed, and it clarified the position of both ureters and the renal vessels, permitting an harmless ultrasound-guided percutaneous lymphocele drainage. In conclusion contrast-enhanced ultrasound retrograde cystography may be helpful in percutaneous drainage of complex posttransplant lymphocele.

No MeSH data available.


Related in: MedlinePlus

Renal function improved after percutaneous drainage and subsequent marsupialization of lymphocele.
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fig4: Renal function improved after percutaneous drainage and subsequent marsupialization of lymphocele.

Mentions: A steady recovery of renal function with decreasing serum creatinine and reduction of the inferior limb edema occurred in the following days (Figure 4). Because of a persistent high volume drainage of 500 mL/day, a surgical marsupialisation was done 8 days after the percutaneous drainage. Subsequent US scan showed resolution of the lymphocele.


CEUS Retrograde Cystography Is Helpful in Percutaneous Drainage of Complex Posttransplant Lymphocele.

Di Domenico S, Patti V, Fazio F, Moggia E, Fontana I, Valente U - Case Rep Urol (2012)

Renal function improved after percutaneous drainage and subsequent marsupialization of lymphocele.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3350148&req=5

fig4: Renal function improved after percutaneous drainage and subsequent marsupialization of lymphocele.
Mentions: A steady recovery of renal function with decreasing serum creatinine and reduction of the inferior limb edema occurred in the following days (Figure 4). Because of a persistent high volume drainage of 500 mL/day, a surgical marsupialisation was done 8 days after the percutaneous drainage. Subsequent US scan showed resolution of the lymphocele.

Bottom Line: After monolateral dual kidney transplantation, a 69 years old male patient developed symptomatic lymphocele with mild hydroureteronephrosis, impaired renal function, and right inferior limb oedema.A percutaneous ultrasound-guided drainage of the fluid collection was planned, but the complex mutual relations between the collection and the renal hilus did not allow to identify a suitable route for a safe drainage insertion during conventional ultrasound examination.A retrograde cystography using echographic contrast agent was, therefore, performed, and it clarified the position of both ureters and the renal vessels, permitting an harmless ultrasound-guided percutaneous lymphocele drainage.

View Article: PubMed Central - PubMed

Affiliation: Department of General Surgery and Organ Transplantation, San Martino University Hospital, Largo Rosanna Benzi 10, 16132 Genoa, Italy.

ABSTRACT
After monolateral dual kidney transplantation, a 69 years old male patient developed symptomatic lymphocele with mild hydroureteronephrosis, impaired renal function, and right inferior limb oedema. A percutaneous ultrasound-guided drainage of the fluid collection was planned, but the complex mutual relations between the collection and the renal hilus did not allow to identify a suitable route for a safe drainage insertion during conventional ultrasound examination. A retrograde cystography using echographic contrast agent was, therefore, performed, and it clarified the position of both ureters and the renal vessels, permitting an harmless ultrasound-guided percutaneous lymphocele drainage. In conclusion contrast-enhanced ultrasound retrograde cystography may be helpful in percutaneous drainage of complex posttransplant lymphocele.

No MeSH data available.


Related in: MedlinePlus