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Symptomatic scrotal-inguino-retroperitoneal lymphocele in a kidney transplant patient—to drain but how to drain?
Scrotal-inguino-retroperitoneal (SIR) lymphocele is a rare complication following kidney transplant. This entity is characterized by a tract originating in the retroperitoneal space, through the inguinal canal and scrotum following lymph hydrodissection. Systematic review investigating SIR lymphocel...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10112954/ https://www.ncbi.nlm.nih.gov/pubmed/37082647 http://dx.doi.org/10.1093/jscr/rjad192 |
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author | Ng Hung Shin, Brian Tan, Samuel X Griffin, Anthony Kanagarajah, Vijay Tan, Ailin |
author_facet | Ng Hung Shin, Brian Tan, Samuel X Griffin, Anthony Kanagarajah, Vijay Tan, Ailin |
author_sort | Ng Hung Shin, Brian |
collection | PubMed |
description | Scrotal-inguino-retroperitoneal (SIR) lymphocele is a rare complication following kidney transplant. This entity is characterized by a tract originating in the retroperitoneal space, through the inguinal canal and scrotum following lymph hydrodissection. Systematic review investigating SIR lymphocele yielded cases with open fenestration of the sac into the peritoneum as treatment. We described a case report of a male in his 60s with a functioning kidney transplant and SIR lymphocele, which was successfully managed in the short term with percutaneous drainage of the collection. However, the collection recurred and computed tomography scan showed a multiloculated collection that prompted surgical management. Intraoperatively, the encapsulated fluid-filled tract was excised and a drain was placed, which was removed 48 h later. The patient wore a hernia belt for 6 weeks as support. He had no recurrence of his lymphocele following serial reviews for 9 months now. |
format | Online Article Text |
id | pubmed-10112954 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-101129542023-04-19 Symptomatic scrotal-inguino-retroperitoneal lymphocele in a kidney transplant patient—to drain but how to drain? Ng Hung Shin, Brian Tan, Samuel X Griffin, Anthony Kanagarajah, Vijay Tan, Ailin J Surg Case Rep Case Report Scrotal-inguino-retroperitoneal (SIR) lymphocele is a rare complication following kidney transplant. This entity is characterized by a tract originating in the retroperitoneal space, through the inguinal canal and scrotum following lymph hydrodissection. Systematic review investigating SIR lymphocele yielded cases with open fenestration of the sac into the peritoneum as treatment. We described a case report of a male in his 60s with a functioning kidney transplant and SIR lymphocele, which was successfully managed in the short term with percutaneous drainage of the collection. However, the collection recurred and computed tomography scan showed a multiloculated collection that prompted surgical management. Intraoperatively, the encapsulated fluid-filled tract was excised and a drain was placed, which was removed 48 h later. The patient wore a hernia belt for 6 weeks as support. He had no recurrence of his lymphocele following serial reviews for 9 months now. Oxford University Press 2023-04-18 /pmc/articles/PMC10112954/ /pubmed/37082647 http://dx.doi.org/10.1093/jscr/rjad192 Text en Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2023. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Case Report Ng Hung Shin, Brian Tan, Samuel X Griffin, Anthony Kanagarajah, Vijay Tan, Ailin Symptomatic scrotal-inguino-retroperitoneal lymphocele in a kidney transplant patient—to drain but how to drain? |
title | Symptomatic scrotal-inguino-retroperitoneal lymphocele in a kidney transplant patient—to drain but how to drain? |
title_full | Symptomatic scrotal-inguino-retroperitoneal lymphocele in a kidney transplant patient—to drain but how to drain? |
title_fullStr | Symptomatic scrotal-inguino-retroperitoneal lymphocele in a kidney transplant patient—to drain but how to drain? |
title_full_unstemmed | Symptomatic scrotal-inguino-retroperitoneal lymphocele in a kidney transplant patient—to drain but how to drain? |
title_short | Symptomatic scrotal-inguino-retroperitoneal lymphocele in a kidney transplant patient—to drain but how to drain? |
title_sort | symptomatic scrotal-inguino-retroperitoneal lymphocele in a kidney transplant patient—to drain but how to drain? |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10112954/ https://www.ncbi.nlm.nih.gov/pubmed/37082647 http://dx.doi.org/10.1093/jscr/rjad192 |
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