Lymphocele: a possible relationship with acute cellular rejection in kidney transplantation
São Paulo med. j
; 117(6): 238-42, Nov. 1999. tab
Article
in English
| LILACS
| ID: lil-252285
Responsible library:
BR1.1
RESUMO
CONTEXT The incidence of lymphocele after renal transplantation varies between 0.6 and 18 percent of cases, and many factors have been associated to its etiology. Cellular rejection of the kidney allograft has been described as a possible causal factor of lymphocele. OBJECTIVE:
To analyze the possible relationship between lymphocele and acute cellular rejection.DESIGN:
A retrospective study.SETTING:
A referral hospital center. SAMPLE 170 patients submitted to kidney transplantation from March 1992 to January 1997. A standard technique for renal transplantation was used.RESULTS:
Of the 19 patients that developed lymphocele, 16 presented at least one episode of acute cell rejection (84 percent), and were treated with methylprednisolone. The relation between lymphocele and rejection was statistically significant (p = 0.04). Treatment of lymphocele consisted of peritoneal marsupialization in 3 patients (15.3 percent), percutaneous drainage in 7 (36.8 percent), laparascopic marsupialization in 2 (10.5 percent), and conservative treatment in 7 patients (36.8percent. Evolution was favorable in 15 patients (78.9 percent), 1 patient (5.3 percent) died due to a cause unrelated to lymphocele, and 3 (15.8 percent) lost the graft due to immunological factors. The average follow-up period was 24.5 months.CONCLUSION:
The high incidence of acute cell rejection in patients with lymphocele suggests a possible causal relationship between both conditions
Full text:
Available
Collection:
International databases
Database:
LILACS
Main subject:
Lymphocele
/
Kidney Transplantation
/
Graft Rejection
Type of study:
Etiology study
/
Observational study
/
Risk factors
Limits:
Female
/
Humans
/
Male
Language:
English
Journal:
São Paulo med. j
Journal subject:
Cirurgia Geral
/
Cincia
/
Ginecologia
/
Medicine
/
Medicina Interna
/
Obstetr¡cia
/
Pediatria
/
Sa£de Mental
/
Sa£de P£blica
Year:
1999
Document type:
Article