Renal lymphangiectasia

Case contributed by Dr Chris O'Donnell

Presentation

Left loin pain, ? renal colic. No trauma

Patient Data

Age: 45
Gender: Male
CT

Three phase renal CT

Three phase renal CT demonstrates enlarged, low attenuating kidneys. When contrast is administered, sub-capsular fluid can be identified along with a number of peripelvic cysts. 

X-ray

Delayed plain film KUB

Delayed radiograph showing relatively normal excretion on the right and hold up in region of the left PUJ. Note a double contour to the left kidney due to accumulation of contrast in the subcapsular fluid. 

Case Discussion

Patient has typical features of lympangiectasia with development of chronic subcapsular not perinephric lymphatic fluid collections - producing Page kidney like appearances (i.e poor parenchymal enhancement and high renin hypertension due to relative ischaemia).  In this case lymphatic swelling has caused the left upper ureter to obstruct leading to a presentation of "renal colic".

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Case information

rID: 16908
Case created: 29th Feb 2012
Last edited: 11th Apr 2017
System: Urogenital
Tag: kidney
Inclusion in quiz mode: Included

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