TY - CHAP M1 - Book, Section TI - Collections A1 - Volpacchio, Mariano M A1 - D’Agostino, Catherine A A1 - Bakken, Sofia A1 - Palestro, Christopher J A1 - Warshawsky, Robin J A1 - Grimaldi, Gregory M A1 - Pellerito, John S A1 - Molmenti, Ernesto P A2 - Molmenti, Ernesto Pompeo Y1 - 2023 N1 - T2 - Molmenti’s Kidney and Pancreas Transplantation: Operative Techniques and Medical Management, 2e AB - It is not infrequent for kidney transplants to have one or more small perinephric collections in the immediate postoperative periodMost such collections are small and represent expected sequel of the surgical procedure (i.e., serous or hemorrhagic)The clinical relevance of perinephric collections is associated with their:SizeLocationEtiologyGrowthPhysiologic relevanceCollections associated with kidney transplantation include but are not limited to:SeromasHematomasUrinomasLymphocelesAbscessesBecause some collections may potentially enlarge and result in functional impairment of the graft, baseline examinations should document their size, location, and extension as a reference for future comparisonsAlthough ultrasound (US) is very sensitive in the detection of fluid collections, the sonographic appearance of the collections can be nonspecificA combination of imaging modalities, chronology relative to the surgery, clinical findings, and laboratory information may assist in suggesting a possible etiologyImaging studies, particularly ultrasound, may guide diagnostic and therapeutic drainage procedures SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/03/28 UR - accesssurgery.mhmedical.com/content.aspx?aid=1194189208 ER -