Renal lymphangiectasia

Case contributed by Dr Chris O'Donnell


Left loin pain, ? renal colic. No trauma

Patient Data

Age: 45
Gender: Male

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. 


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 ischemia).  In this case lymphatic swelling has caused the left upper ureter to obstruct leading to a presentation of "renal colic".

PlayAdd to Share

Case information

rID: 16908
Published: 29th Feb 2012
Last edited: 16th Jul 2018
System: Urogenital
Tag: kidney
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.