Chonnam Med J.  2012 Apr;48(1):57-59. 10.4068/cmj.2012.48.1.57.

Perirenal Fluid Collection after Kidney Transplantation

• Kim MJ
• Kim CS
• Choi JS
• Bae EH
• Ma SK
• Kim SW

• KMID: 2274883
• DOI: http://doi.org/10.4068/cmj.2012.48.1.57

Abstract

A 30-year-old male presented with pitting edema. He had received a kidney transplantation 3 months previously. His serum creatinine level was increased, and a renal ultrasound showed hypoechoic fluid collection in the perirenal space and pelvic cavity. We conducted sono-guided percutaneous drainage of the fluid collected in the pelvic cavity. The chemistry of the peritoneal fluid was more equivalent to serum chemistry values than to urinary values. Simple aspiration and treatment with antibiotics were performed. We have presented a case of lymphocele after kidney transplantation. This case suggests that physicians should remember how to differentiate the pelvic cavity fluid collection in patients who have received a kidney transplant.

Keyword

Lymphocele; Kidney; Transplantation

MeSH Terms

Adult
Anti-Bacterial Agents
Ascitic Fluid
Creatinine
Drainage
Edema
Humans
Kidney
Kidney Transplantation
Lymphocele
Male
Transplants
Anti-Bacterial Agents
Creatinine

Figure

• 

  FIG. 1 Renal ultrasound showing hydronephrosis and perirenal fluid collection (white arrow).

• 

  FIG. 2 Abdominal computed tomography confirmed perirenal and pelvic cavity fluid collection (white arrow). The black arrow indicates the double J stent.

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  FIG. 3 Technetium99m diethylenetriamine penta-acetic acid renal scan showing focal tracer accumulation in the pelvic area with evidence of abnormal leakage from the transplanted kidney and ureter.

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  FIG. 4 (A) Percutaneous drainage from the intraabdominal fluid collection was conducted. (B) Abdominal computed tomography confirmed improved perirenal fluid collection. The black arrow indicates the double J stent.

Reference

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