1. Massive Ascites in a Renal Transplant Patient after Laparoscopic Fenestration of a Lymphocele
- Author
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Kawaguchi, Shohei, Nohara, Takahiro, Shima, Takashi, Matsuyama, Satoko, Nose, Chikako, Yamahana, Junya, Kadono, Yoshifumi, Seto, Chikashi, Kawabata, Masahiko, and Mizokami, Atsushi
- Subjects
Article Subject - Abstract
Retroperitoneal lymphocele is a common complication of renal transplantation. Here, we report the case of a 67-year-old woman with massive ascites after fenestration surgery for a lymphocele that developed following renal transplantation. She had been on continuous ambulatory peritoneal dialysis for 9 years. Living donor renal transplantation was performed and an intrapelvic lymphocele subsequently developed. The lymphocele did not resolve after aspiration therapy; therefore, laparoscopic fenestration was performed. Although the lymphocele disappeared, massive ascites appeared in its stead. Half a year later, the ascites was surgically punctured, which then gradually resolved and disappeared 6 weeks later. Aspiration therapy should be considered in patients on long-term peritoneal dialysis, although laparoscopic fenestration is safe and effective.
- Published
- 2016
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