Bilateral renal lymphangiomatosis mimicking hydronephrosis: multidetector CT urographic findings

Sarıkaya, Başar; Aktürk, Yeliz; Bekar, Ulku; Topaloğlu, Serkan

doi:10.1007/s00261-005-8014-y

Cited by 21 publications

(12 citation statements)

References 12 publications

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“…Patients with renal lymphangiectasia may be asymptomatic or may present with abdominal distension, flank pain, abdominal lump, hypertension, hematuria, proteinuria, or renal vein thrombosis [1]. The extrinsic compression may result in ureteric obstruction or altered kidney function and can be confused for hydronephrosis or simple perinephric fluid collection posttransplantation [5]. The patient in our study presented with right lower quadrant pain and worsening kidney function thirteen months after kidney transplant.…”

Section: Discussionmentioning

confidence: 73%

Posttransplant Intrarenal Lymphangiectasia

Valeshabad

Benedetti

Bui

2020

Case Reports in Transplantation

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Renal lymphangiectasia is an extremely rare benign condition in the setting of transplanted kidneys. We describe a 50-year-old female with a past medical history of lupus nephritis and renal transplants who presented with right lower quadrant pain and was found to have intrarenal lymphangiectasia on imaging and laboratory tests. The patient was treated with percutaneous drainage initially and then wide peritoneal fenestration and omentoplasty. An extremely rare adult case with intrarenal lymphangiectasia thirteen months after kidney transplant was described in this study. Imaging, particularly computed tomography (CT) and magnetic resonance imaging (MRI), plays a key role in the diagnosis of renal lymphangiectasia.

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Section: Discussionmentioning

confidence: 73%

Posttransplant Intrarenal Lymphangiectasia

Valeshabad

Benedetti

Bui

2020

Case Reports in Transplantation

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“…The contents of renal lymphatic aspirates are different from that of thoracic duct because it is outside the mesenteric drainage pathway [ 10 , 15 ].…”

Section: Discussionmentioning

confidence: 99%

Role of CT scan in diagnosis of renal lymphangiectasia: our single-center experience

Pandya¹,

Sutariya²,

Gandhi³

et al. 2017

Renal Failure

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Background: Renal lymphangiectasia is rarely reported benign renal disorder of lymphatic malformation. Though found incidentally; it presents with nonspecific symptoms and shows characteristic findings in radiological imaging studies.Aim: Here, we report eight patients with symptoms, laboratory and imaging findings compatible with renal lymphangiectasia. This report describes clinical and laboratory characteristics, treatment, Imaging findings and outcome of a series of patients with renal lymphangiectasia and reviews the literature.Methods and material: Eight patients (mean age 45 years, male:female ratio 3:1) from 1st January 2011 to 30th June 2016; showing renal lymphangiectasia as incidental finding on CT IVP were included in the series. Imaging and laboratory findings were reviewed. Two out of eight patients (25%) underwent aspiration of collection and laboratory findings confirmed the diagnosis of renal lymphangiectasia. Four out of eight patients (50%) did not undergo aspiration of fluid and were offered conservative treatment. Two out of eight patients (25%) were donors for renal transplantation who were managed conservatively.Results: Renal lymphangiectasia was diagnosed on CT IVP. In each case, where aspiration of collection fluid was offered, the laboratory diagnosis of renal lymphangiectasia was confirmed and patients were managed conservatively. However, large collection in one patient was relieved by percutaneous aspiration.Conclusions: Renal lymphangiectasia can be diagnosed with CT scan and confirmed by laboratory tests. As it may be confused with other cystic lesions of kidney; proper diagnosis and exclusion of other differentials can be effectively offered by CT scan IVP, which can avoid unnecessary invasive treatment options.

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“…The patients may be completely asymptomatic and diagnosed incidentally. Flank pain [ 1 , 3 ], abdominal distension, ascites, haematuria, fatigue, weight loss, hypertension and polycythaemia have been described. It can be a part of the presentation with generalized lymphangiomatosis.…”

Section: Discussionmentioning

confidence: 99%

“…The ultrasound appearances can sometimes be mistaken for hydronephrosis [ 3 ] due to the position of the cysts in the renal sinus. Other differential diagnoses include perinephric abscess, perirenal urine collection, subcapsular and perirenal haematoma, pancreatic pararenal fluid collections and transudate fluid associated with nephropathies [ 6 ].…”

Section: Discussionmentioning

confidence: 99%