A clinical case of a giant lymphocele (LC) in a patient with a recent renal transplant is described

The lymphocele (LC) described was associated with a sharp increase in plasma creatinine values, in the absence of any clinical symptoms. A open laparotomy procedure determined the resolution of the LC and the slow recovery of renal function. The huge dimensions of the LC (volume >3000 cc) and its pelvic localization, which dislocated both the bladder and the transplanted kidney, make this case unique, since the LC mimicked a particularly dilated bladder. CONCLUSIONS: We discuss how therapies, rejection episodes, follow-up modalities, and surgical procedures may influence the onset of this frequent complication of renal transplantation.