Baumgartner D, Largiadèr F, Uhlschmid G, Binswanger U
Chirurg. 1976;47(2):88-92.
Lymphoceles as seen after renal transplantation are cystic swellings filled with lymph, situated beneath the lower end of the transplant on the iliac vessels. It seems that the lymph originates from lymphatics cut during operation. 5 such cases have been seen in our series of 268 renal allotransplantations. Symptoms arose 1 to 6 months after transplantation. According to our own experience and to 39 cases of the literature, deterioration of renal function because of compression of the ureter is the most common symptom. Therefore, intravenous pyelography is the main diagnostic means. Some cysts can be visualized by lymphangiography. Marsupialisation to the peritoneal cavity is the treatment of choice.
肾移植后出现的淋巴囊肿是充满淋巴液的囊性肿胀，位于移植肾下端下方的髂血管处。淋巴液似乎源自手术中切断的淋巴管。在我们的268例同种异体肾移植系列中，已观察到5例这种情况。症状出现在移植后1至6个月。根据我们自己的经验以及文献报道的39例病例，由于输尿管受压导致肾功能恶化是最常见的症状。因此，静脉肾盂造影是主要的诊断手段。一些囊肿可通过淋巴管造影显示。将囊肿开窗引流至腹腔是首选的治疗方法。
