Renal lymphangiectasia: know it in order to diagnose it

Leite, Andréa Farias de Melo; Venturieri, Bruna; Araújo, Rosana Gonçalves de; Silva, Eduardo Just Costa E; Elias, Jorge

doi:10.1590/0100-3984.2015.0025

Cited by 6 publications

(8 citation statements)

References 4 publications

(5 reference statements)

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“…Renal lymphangiectasia occurs secondary to congenital or very rarely acquired miscommunication between the renal and retroperitoneal lymphatic channels. [ 1 2 ] As the name implies, lymphangiectasia or dilatation of lymphatic vessels occurs due to the lymph accumulation in and around the kidneys, which is seen radiographically as unilocular or multilocular cysts. [ 1 2 ]…”

Section: Discussionmentioning

confidence: 99%

“…[ 1 2 ] As the name implies, lymphangiectasia or dilatation of lymphatic vessels occurs due to the lymph accumulation in and around the kidneys, which is seen radiographically as unilocular or multilocular cysts. [ 1 2 ]…”

Section: Discussionmentioning

confidence: 99%

“…In majority of cases, this condition is diagnosed incidentally but can present with flank mass, pain, hypertension, haematuria, chyluria, renal vein thrombosis, ureteral obstruction, lower limb oedema, ascites, pleural effusion or even chylothorax. [ 2 ] Similar to its aetiopathogenesis, to date, no consensus has been reached regarding its optimal management. Management includes conservative options such as follow-up when asymptomatic, aspiration with or without sclerotherapy or pigtail placement to more invasive options such as laparoscopic cyst deroofing, marsupialisation, excision or very rarely even nephrectomy.…”

Section: Discussionmentioning

confidence: 99%

“…Management includes conservative options such as follow-up when asymptomatic, aspiration with or without sclerotherapy or pigtail placement to more invasive options such as laparoscopic cyst deroofing, marsupialisation, excision or very rarely even nephrectomy. [ 2 ]…”

Section: Discussionmentioning

confidence: 99%

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Refractory lymphatic ascites following laparoscopic management of renal lymphangiectasia

Saini

Nayak

Singh

et al. 2021

Journal of Minimal Access Surgery

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Renal lymphangiectasia characterised by either unilocular or multilocular cystic lesion in and around the kidney is an uncommon condition. Presentation of these lesions is quite varied, which along with its uncommon occurrence adds to the challenges in the management of this condition. Most of these cases are managed conservatively and very rarely need any intervention. We present an unusual complication of refractory lymphatic ascites following laparoscopic deroofing of a unilocular renal lymphangiectasia in a 21-year-old gentleman who presented with left flank pain. The ascitic fluid analysis suggested non-chylous lymphatic ascites. The surgical outcome was rather exasperating for the patient than the disease itself. Hence, in the interest of the patient with minimal symptoms, if the imaging is highly suggestive of renal lymphangiectasia, either no intervention or the least invasive procedures should be attempted, whenever possible.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Refractory lymphatic ascites following laparoscopic management of renal lymphangiectasia

Saini

Nayak

Singh

et al. 2021

Journal of Minimal Access Surgery

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“…Masses of the urinary tract have been the object of a number of recent publications in the radiology literature of Brazil 1 - 3 . AMLs are rare benign lesions, accounting for 1-3% of all renal tumors, hamartomas being included in the differential diagnosis because of the presence of adipose tissue, neovascularization, and muscle fibers 4 .…”

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confidence: 99%