Post-kidney transplantation lymphocele due to a lymphatic filariasis.
Identifieur interne : 002924 ( PubMed/Corpus ); précédent : 002923; suivant : 002925Post-kidney transplantation lymphocele due to a lymphatic filariasis.
Auteurs : A. Derouiche ; R. El Atat ; M. Mechri ; N. Garbouj ; A. Ezzeddine ; A. Khaled ; M. ChebilSource :
- Transplantation proceedings [ 1873-2623 ] ; 2010.
English descriptors
- KwdEn :
- Albendazole (therapeutic use), Antiparasitic Agents (therapeutic use), Doxycycline (therapeutic use), Drainage (methods), Elephantiasis, Filarial (drug therapy), Elephantiasis, Filarial (etiology), Elephantiasis, Filarial (surgery), Humans, Ivermectin (therapeutic use), Kidney Failure, Chronic (surgery), Kidney Transplantation (adverse effects), Lymphocele (drug therapy), Lymphocele (etiology), Lymphocele (parasitology), Lymphocele (surgery), Male, Middle Aged, Postoperative Complications (diagnostic imaging), Postoperative Complications (surgery), Tomography, X-Ray Computed.
- MESH :
- chemical , therapeutic use : Albendazole, Antiparasitic Agents, Doxycycline, Ivermectin.
- adverse effects : Kidney Transplantation.
- diagnostic imaging : Postoperative Complications.
- drug therapy : Elephantiasis, Filarial, Lymphocele.
- etiology : Elephantiasis, Filarial, Lymphocele.
- methods : Drainage.
- parasitology : Lymphocele.
- surgery : Elephantiasis, Filarial, Kidney Failure, Chronic, Lymphocele, Postoperative Complications.
- Humans, Male, Middle Aged, Tomography, X-Ray Computed.
Abstract
Lymphocele is a well-known complication of renal transplantation. Presenting symptoms are nonspecific; most patients are entirely asymptomatic. Herein, we have reported a case of lymphocele due to an asymptomatic lymphatic Wuchereria bancrofti filariasis with deterioration of graft function. A 53-year-old man with end-stage renal disease secondary to vascular disease was admitted 40 days after transplantation with vague, isolated abdominal pain. An abdomen and pelvis ultrasound examination demonstrated a cystic structure in the renal hilus. Graft function deteriorated, so the patient underwent puncture of the lymphocele followed by povidone iodine sclerotherapy. In the percutaneous drainage, we noted a fine whitish strand 4-mm thick similar to the shape of the stent, a part of which seemed to go into the transplantation fossa. Parasitological examination showed an adult female worm of W bancrofti measuring 6 cm. The test for microfilaremia was negative. The patient was treated for 10 days with a combination of Ivermectin and Albendazole associated with Doxycycline. The collection rapidly decreased after worm treatment. This case describes a post-renal transplantation lymphocele due to asymptomatic lymphatic filariasis.
DOI: 10.1016/j.transproceed.2010.04.042
PubMed: 20832594
Links to Exploration step
pubmed:20832594Le document en format XML
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<author><name sortKey="Derouiche, A" sort="Derouiche, A" uniqKey="Derouiche A" first="A" last="Derouiche">A. Derouiche</name>
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<author><name sortKey="El Atat, R" sort="El Atat, R" uniqKey="El Atat R" first="R" last="El Atat">R. El Atat</name>
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<author><name sortKey="Mechri, M" sort="Mechri, M" uniqKey="Mechri M" first="M" last="Mechri">M. Mechri</name>
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<author><name sortKey="Ezzeddine, A" sort="Ezzeddine, A" uniqKey="Ezzeddine A" first="A" last="Ezzeddine">A. Ezzeddine</name>
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<front><div type="abstract" xml:lang="en">Lymphocele is a well-known complication of renal transplantation. Presenting symptoms are nonspecific; most patients are entirely asymptomatic. Herein, we have reported a case of lymphocele due to an asymptomatic lymphatic Wuchereria bancrofti filariasis with deterioration of graft function. A 53-year-old man with end-stage renal disease secondary to vascular disease was admitted 40 days after transplantation with vague, isolated abdominal pain. An abdomen and pelvis ultrasound examination demonstrated a cystic structure in the renal hilus. Graft function deteriorated, so the patient underwent puncture of the lymphocele followed by povidone iodine sclerotherapy. In the percutaneous drainage, we noted a fine whitish strand 4-mm thick similar to the shape of the stent, a part of which seemed to go into the transplantation fossa. Parasitological examination showed an adult female worm of W bancrofti measuring 6 cm. The test for microfilaremia was negative. The patient was treated for 10 days with a combination of Ivermectin and Albendazole associated with Doxycycline. The collection rapidly decreased after worm treatment. This case describes a post-renal transplantation lymphocele due to asymptomatic lymphatic filariasis.</div>
</front>
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<Abstract><AbstractText>Lymphocele is a well-known complication of renal transplantation. Presenting symptoms are nonspecific; most patients are entirely asymptomatic. Herein, we have reported a case of lymphocele due to an asymptomatic lymphatic Wuchereria bancrofti filariasis with deterioration of graft function. A 53-year-old man with end-stage renal disease secondary to vascular disease was admitted 40 days after transplantation with vague, isolated abdominal pain. An abdomen and pelvis ultrasound examination demonstrated a cystic structure in the renal hilus. Graft function deteriorated, so the patient underwent puncture of the lymphocele followed by povidone iodine sclerotherapy. In the percutaneous drainage, we noted a fine whitish strand 4-mm thick similar to the shape of the stent, a part of which seemed to go into the transplantation fossa. Parasitological examination showed an adult female worm of W bancrofti measuring 6 cm. The test for microfilaremia was negative. The patient was treated for 10 days with a combination of Ivermectin and Albendazole associated with Doxycycline. The collection rapidly decreased after worm treatment. This case describes a post-renal transplantation lymphocele due to asymptomatic lymphatic filariasis.</AbstractText>
<CopyrightInformation>2010 Elsevier Inc. All rights reserved.</CopyrightInformation>
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