{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T18:54:02Z","timestamp":1769540042202,"version":"3.49.0"},"reference-count":11,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,12,14]],"date-time":"2025-12-14T00:00:00Z","timestamp":1765670400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,12,14]],"date-time":"2025-12-14T00:00:00Z","timestamp":1765670400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["IJU Case Reports"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Post\u2010kidney transplantation lymphocele is a common complication, usually managed with percutaneous drainage, lymphangiography, or surgical fenestration. We report a refractory case successfully treated with percutaneous balloon fenestration into the peritoneal cavity using interventional radiology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>A woman in her 60s with end\u2010stage renal disease from diabetic nephropathy underwent living\u2010donor kidney transplantation. Two weeks later, a lymphocele developed with a predominant subcutaneous component and a smaller peritransplant retroperitoneal collection, requiring repeated percutaneous aspiration. At 2\u2009months, lymphangiography did not demonstrate an active leak. At 3\u2009months, CT\u2010guided puncture and dilation were used to create a passage between the lymphocele and the peritoneal cavity, with placement of a 10\u2010Fr catheter. The catheter was removed after 3\u2009weeks, and no recurrence has been observed for 2.5\u2009years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Interventional radiology\u2010based percutaneous balloon fenestration into the peritoneal cavity may be an effective alternative to surgical fenestration in refractory post\u2010transplant lymphocele.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/iju5.70130","type":"journal-article","created":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T01:11:01Z","timestamp":1765761061000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Case of Refractory Lymphocele Following Living Donor Kidney Transplantation Treated With Percutaneous Balloon Fenestration Into the Peritoneal Cavity Using Interventional Radiology"],"prefix":"10.1002","volume":"9","author":[{"given":"Naoki","family":"Akagi","sequence":"first","affiliation":[{"name":"Department of Urology Kobe City Medical Center General Hospital  Kobe Hyogo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shojiro","family":"Oka","sequence":"additional","affiliation":[{"name":"Department of Radiology Kobe City Medical Center General Hospital  Kobe Hyogo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shigeshi","family":"Kohno","sequence":"additional","affiliation":[{"name":"Department of Radiology Kobe City Medical Center General Hospital  Kobe Hyogo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atsushi","family":"Igarashi","sequence":"additional","affiliation":[{"name":"Department of Urology Kobe City Medical Center General Hospital  Kobe Hyogo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1488-9811","authenticated-orcid":false,"given":"Yuto","family":"Hattori","sequence":"additional","affiliation":[{"name":"Department of Urology Kobe City Medical Center General Hospital  Kobe Hyogo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noboru","family":"Shibasaki","sequence":"additional","affiliation":[{"name":"Department of Urology Kobe City Medical Center General Hospital  Kobe Hyogo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mutsushi","family":"Kawakita","sequence":"additional","affiliation":[{"name":"Department of Urology Kobe City Medical Center General Hospital  Kobe Hyogo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshinari","family":"Yamasaki","sequence":"additional","affiliation":[{"name":"Department of Urology Kobe City Medical Center General Hospital  Kobe Hyogo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,14]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11255-019-02269-0"},{"key":"e_1_2_10_3_1","first-page":"34","article-title":"Lymphocele Following Renal Transplantation","volume":"17","author":"Samhan M.","year":"2006","journal-title":"Saudi Journal of Kidney Diseases and Transplantation"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0b013e31822a40ef"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000002268"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/ckj\/sfv064"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)37563-8"},{"key":"e_1_2_10_8_1","first-page":"621","article-title":"Instillation of Povidone Iodine to Treat Lymphocele and Leak of Lymph After Renal Transplantation","volume":"18","author":"Zomorrodi A.","year":"2007","journal-title":"Saudi Journal of Kidney Diseases and Transplantation"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.transproceed.2018.03.095"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.3348\/kjr.2022.0689"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2013.02.017"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0043-1761622"}],"container-title":["IJU Case 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