腎移植後に発生したLymphoceleの2例

Abstract

In a series of 78 consecutive renal transplant patients performed at the Department of Urology, Osaka University Hospital and Nishinomiya Prefectural Hospital from January 1970 to October 1977, 2 cases with lymphocele have been observed (2.5%). The clinical importance of post-transplant lymphocele lies in their effects on renal function mimicking allograft rejection which is the more common cause of deterioration of graft function. This condition may lead to an unnecessary immunosuppressive treatment or dangerous increase in the already instituted immunosuppression. Thus correct early diagnosis as well as proper treatment of this complication is essential. The case histories of these 2 patients are briefly reviewed, and pathogenesis and treatment of lymphocele are discussed with reference of the literature.