Retroperitoneal lymphangiectasia associated with bilateral renal vein thrombosis

Riehl, J; Schmitt, H. J.; Schafer, Leah; Schneider, B; Sieberth, H. G.

doi:10.1093/ndt/12.8.1701

Cited by 38 publications

(31 citation statements)

References 2 publications

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“…The radiographic appearance of septated perinephric fluid collections, which can extend around the pelvis and up to retroperitoneal tissues, may lead to a differential diagnosis of hydronephrosis, 11 hematoma, abscess, lymphoma or polycystic kidney disease. [12][13][14][15] It rarely regresses spontaneously. 16 Hypertension associated with renal lymphangiectasia is rarely reported.…”

Section: Discussionmentioning

confidence: 99%

Renal lymphangiectasia presenting with hypertension and polycythemia

Blanc

Schmutz²,

Belzile³

et al. 2014

CUAJ

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We report a very rare case of renal lymphangiectasia, an accumulation of lymph in the renal lymphatic system secondary to obstruction. Our patient presented to his family doctor for an annual check-up which resulted with high blood pressure and polycythemia. An ultrasound was performed and revealed a large right perirenal collection. A year later, a controlled abdominal computed tomography scan showed a progression and compression of perirenal collection on the right kidney, as well as apparition of a left perirenal collection. Percutaneous drainage of both collections was unsuccessful. Laparoscopy-guided marsupialisation was performed and successful. Blood pressure lowered to normal range without medication. The patient's hemoglobin level decreased within normal range after 3 additional phlebotomies postoperatively.

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Section: Discussionmentioning

confidence: 99%

Renal lymphangiectasia presenting with hypertension and polycythemia

Blanc

Schmutz²,

Belzile³

et al. 2014

CUAJ

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“…10 On MRI, they are hypointense on T1W images and hyperintense on T2W images. 11 The diagnosis of lymphangiomatosis can be confirmed by aspiration of chylous fluid from perinephric fluid collection. 12 However ultrasound and CT scan findings are generally characteristics of this entity and allow the definitive diagnosis to be made.…”

Section: Discussionmentioning

confidence: 99%

“…However, induration of the cyst and infection often complicate this procedures. 17 Described complications of untreated cases include hematuria, ascites, hypertension, renal vein thrombosis and impairment of renal function. 18 CONCLUSION: Perinephric lymphangioma is a rare developmental condition of kidneys however, imaging findings of this entity are generally characteristic to allow specific diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Ultrasonographic and Computed Tomographic Findings Is Definitive Imaging in Bilateral Symmetrical Perirenal Peripelvic Lymphangiomatosis: A Case Report

Kumar¹,

Suman²,

Gupta³

et al. 2014

jemds

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“…La LFR es un trastorno muy poco frecuente y benigno, considerado como una malformación del desarrollo de los linfáticos renales [3][4][5] . Puede ser congénita o adquirida.…”

Section: Discussionunclassified

Linfangiectasia renal unilateral: Caso clínico

Vega

Santamarina

2012

Rev. méd. Chile

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. La LFR ha sido descrita con diversos nombres como: linfangioma renal, linfangiectasia peri-pélvica, enfermedad poliquística del seno renal, higroma renal y linfangiectasia renal peripélvica multiquística.Se cree que ocurre por una alteración de la comunicación entre los conductos linfáticos renales y los linfáticos retroperitoneales 1 . Comunicamos el caso de una mujer con LFR unilateral, en que esta alteración se descubrió incidentalmente en el estudio de un dolor abdominal asociado a hematuria microscópica. Caso clínicoMujer de 48 años, portadora de una válvula aórtica bicúspide con una leve insuficiencia, acné rosácea y colecistectomizada. Consultó en el servicio de urgencia por dolor abdominal localizado en el flanco izquierdo. El examen de orina mostró 7-10 hematíes por campo, leucocitos 4-6 por campo y ausencia de bacterias. Nitrógeno ureico 21,8 mg/dl, creatinina plasmática 0,59 mg/dl, clearance de creatinina de 24 h 109,7 ml/min/1.73m 2 y proteinuria de 24 h negativa. Electrolitos plasmáticos normales, glicemia 89 mg/dl, proteína C reactiva < 5 mg/L (VN: 0,10-8,2). Hematocrito 40,3%, hemoglobina 13,8 g/dl, leucocitos 7.400 mm 3 , plaquetas 283.000 mm 3 y VHS 1 mm/h. Por el dolor y la hematuria se efectuó un scanner de abdomen que mostró una masa quística multilocular en el hilio del riñón izquierdo, que protruye hacia el retroperitoneo y que no se realzaba con el uso del medio de contraste (Figura 1). Se diagnosticó un linfangioma quístico renal izquierdo. Como desapareció el dolor con terapia analgésica, se decidió no intervenir y continuar una observación anual. DiscusiónLa LFR es un trastorno muy poco frecuente y benigno, considerado como una malformación del desarrollo de los linfáticos renales [3][4][5] . Puede ser

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Retroperitoneal lymphangiectasia associated with bilateral renal vein thrombosis

Cited by 38 publications

References 2 publications

Renal lymphangiectasia presenting with hypertension and polycythemia

Renal lymphangiectasia presenting with hypertension and polycythemia

Ultrasonographic and Computed Tomographic Findings Is Definitive Imaging in Bilateral Symmetrical Perirenal Peripelvic Lymphangiomatosis: A Case Report

Linfangiectasia renal unilateral: Caso clínico

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