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Retroperitoneum » Kidneys, Ureters
Lymphocele surrounding a double renal transplant
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Author(s) :
Chaitali Shah, FRCR
 
Presentation A 57-year-old woman with end-stage-renal-disease secondary to adult polycystic kidney disease underwent a right sided dual kidney transplant. A follow-up ultrasound was performed. The serum creatinine levels were normal.
 
 
 
Caption: Sagittal image of right lower quadrant
Description: The right sided dual renal transplant is visualized here. There is a fluid collection that is seen surrounding the transplanted kidneys.
 
 
 
Caption: Sagittal image of right lower quadrant
Description: The perinephric fluid collection seen surrounding the transplant kidneys is more completely seen on this extended field of view image.
 
 
 
Caption: Transverse image of right lower quadrant
Description: Septations are clearly seen within the fluid collection surrounding the dual transplanted kidneys.
 
Differential Diagnosis Lymphocele, urinoma [less likely as the patient had a normal serum creatinine], hematoma
 
Final Diagnosis Lymphocele surrounding the dual transplant kidneys
 
Follow Up The perinephric fluid was aspirated and the diagnosis confirmed.
 
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