LAPAROSCOPIC FENESTRATION FOR A SYMPTOMATIC LYMPHOCELE IN RENAL GRAFT AFTER LIVING-DONOR KIDNEY TRANSPLANTATION

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  • Ishikawa Shoko
    Division of Urology, Department of Regenerative & Transplant Medicine, Niigata University Graduate School of Medical and Dental Sciences
  • Tasaki Masayuki
    Division of Urology, Department of Regenerative & Transplant Medicine, Niigata University Graduate School of Medical and Dental Sciences
  • Imai Naofumi
    Division of Clinical Nephrology and Rheumatology, Niigata University Graduate School of Medical and Dental Sciences
  • Ikeda Masahiro
    Division of Urology, Department of Regenerative & Transplant Medicine, Niigata University Graduate School of Medical and Dental Sciences
  • Kasahara Takashi
    Division of Urology, Department of Regenerative & Transplant Medicine, Niigata University Graduate School of Medical and Dental Sciences
  • Sekijima Mitsuhiro
    Shiraishi Hospital
  • Tomita Yusuke
    Shiraishi Hospital
  • Nakagawa Yuki
    Division of Urology, Department of Regenerative & Transplant Medicine, Niigata University Graduate School of Medical and Dental Sciences
  • Saito Kazuhide
    Division of Urology, Department of Regenerative & Transplant Medicine, Niigata University Graduate School of Medical and Dental Sciences
  • Nishiyama Tsutomu
    Division of Urology, Department of Regenerative & Transplant Medicine, Niigata University Graduate School of Medical and Dental Sciences
  • Takahashi Kota
    Division of Urology, Department of Regenerative & Transplant Medicine, Niigata University Graduate School of Medical and Dental Sciences

Bibliographic Information

Other Title
  • 生体腎移植後に発生した移植腎内リンパ嚢胞に対し，腹腔鏡下腎嚢胞開窓術を施行した1例
  • 症例報告 生体腎移植後に発生した移植腎内リンパ囊胞に対し,腹腔鏡下腎囊胞開窓術を施行した1例
  • ショウレイ ホウコク セイタイジンイショク ゴ ニ ハッセイ シタ イショクジンナイ リンパノウホウ ニ タイシ,フククウキョウ カジンノウホウカイソウジュツ オ シコウ シタ 1レイ

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Abstract

A 36-year-old female received protocol biopsy at 1 month after living donor kidney transplantation. At 3 months post-transplantation, presence of a growing cystic mass in the kidney graft which had not been detected preoperatively, was demonstrated by ultrasound and computed tomography. The patient had an abdominal pain around the graft. Percutaneous drainage and sclerotherapy with minocyclin were performed twice, but the cystic mass, nevertheless, became enlarged and the abdominal pain recurred again. Laparoscopic fenestration was then performed. Immunohistochemistry of the cystic mass wall showed that it was CD34 (-), EMA (-), Megalin (-), but D2-40 (+). These results suggested that the cystic mass was derived from lymphatic vessels, which developed into lymphocele in the graft. We concluded that lymphatic vessels could have been injured and obstructed by the protocol biopsy. This is the first report of successful laparoscopic fenestration for lymphocele in the kidney graft.

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