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- W2020125797 abstract "Study Objective: We encountered a patient with a pelvic mass 4 years after renal transplantation which under laparoscopic proved to be a lymphocele and treated with marsuplization of lymphocele. Measurements and Main Results: 50 year-old woman, gravida 2 para 2, has had history of polycystic kidney disease and ESRD underwent renal transplantation on 2003-11-29. After surgery, her renal function was restored, however, a left pelvic tumor was incidentally found in abdominal ultrasound during her regular follow-up. A referral to the gynecological OPD, sonography exam showed this left pelvic cystic mass with separate, measured about 8.8x6.64 cm. The serum level of tumor makers including CA 19-9, CA 1-25 and AFP were within the normal range. Initial impression of the mass favored adnexal origin but with its proximity to the transplant kidney, a lymphocele is also considered. A laparoscopic surgery was arranged and identified the mass as retroperitoneal origin, just below the transplanted kidney. Laparoscopic instrumental incision with creation of a peritoneal window of 5 cm in diameter was performed. Milk-like content within the mass was drained out and tissue for pathology showed cyst is surrounded by hyalinized connective tissue wall and consistent with lymphocele. Conclusion: Occurrence of lymphocele formation following renal transplantation is not uncommon and surgical intraperitoneal marsupialization of lymphocele is considered the treatment of choice. Other means of management such as percutaneous needle aspiration and external drainage are associated with high recurrence and complications. In patients with a clinically significant post-transplantation lymphocele of appropriate size and location as seen in this patient, laparoscopic drainaging and creating a peritoneal window is an effective procedure with minimal recurrence." @default.
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- W2020125797 date "2010-11-01" @default.
- W2020125797 modified "2023-09-23" @default.
- W2020125797 title "A Retroperitoneal Lymphocele Post Renal Transplantation Mimicking Ovarian Cyst Treated with Laparoscopic Marsupialization: A Case Report" @default.
- W2020125797 doi "https://doi.org/10.1016/j.jmig.2010.08.533" @default.
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