Computed tomography in the diagnosis of childhood renal lymphangiectasia
Keywords:
Computed tomography, Perinephric, Renal lymphangiectasiaAbstract
A 14-year-old male patient presented with a history of intermittent bilateral flank pain for 2-3 months. There was no history of any urinary complaints or trauma. Renal function test was normal. Computed tomography (CT) scan of the abdomen revealed bilateral perinephric and peripelvic fluid collections, which were almost symmetrical. A provisional diagnosis of bilateral renal lymphangiectasia was suggested which was confirmed by laboratory analysis of aspirated perinephric fluid. Renal lymphangiectasia is a very rare benign disorder of renal lymphatics. CT can noninvasively diagnose this condition resulting in early treatment and reduced morbidity.
References
Davidson AJ, Hartman DS. Lymphangioma of the retroperitoneum: CT and sonographic characteristic. Radiology. 1990;175(2):507-10.
Schwarz A, Lenz T, Klaen R, Offermann G, Fiedler U, Nussberger J. Hygroma renale: Pararenal lymphatic cysts associated with renin-dependent hypertension (Page kidney). Case report on bilateral cysts and successful therapy by marsupialization. J Urol. 1993;150(3):953-7.
Ramseyer LT. Case 34: Renal lymphangiectasia. Radiology 2001;219(2):442-4.
Ashraf K, Raza SS, Ashraf O, Memon W, Memon A, Zubairi TA. Renal lymphangiectasia. Br J Radiol. 2007;80(954):e117-8.
Blanc M, Schmutz G, Belzile F, Sabbagh R. Renal lymphangiectasia presenting with hypertension and polycythemia. Can Urol Assoc J. 2014;8(3 4):E163 6.
