The Teaching Point

Renal lymphangiectasia is a rare disease and diagnosis is based primarily on the radiological findings of renal sinus cysts and aspiration of perinephric fluid collections. This case presents with pleural effusion in addition to ascites and perinephric fluid collections, which is a new finding of the disease and should be considered in the differential diagnosis of pleural effusion.






Bookmark and Share

From the manuscript

Renal lymphangiectasia presented by pleural effusion and ascites

Free full text article: Renal lymphangiectasia presented by pleural effusion and ascites

Abstract
A young male patient complaining of vague abdominal pain, dyspnea, generalized weakness and abdominal distension for 6 months was referred for abdominal ultrasound. Ultrasound showed enlarged echogenic kidneys, perinephric and renal sinus cystic fluid collections bilaterally with ascites and right pleural effusion. The ultrasound findings were confirmed by abdomen CT scan. Renal function test was within normal. Laboratory analysis of aspirated perinephric fluid revealed abundant lymphocytes. The radiological findings and perinephric fluid aspiration analysis are consistent with renal lymphangiectasia. Pleural effusion, in addition to ascites and perinephric fluid collections, is a new presentation of the disease. Ascites and pleural effusion were improved by diuretics.






References



1. Meredith WT, Ahlstrom NG, Levine E, Grantham JJ. Exacerbation of familial renal lymphangiomatosis during pregnancy. Am J Roentgenol 1988;151:965-6
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


2. Schwarz A, Lenz T, Klaen R, Offermann G, Ulrich F, 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;150:953-7
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


3. Blumhagen JD, Wood BJ, Rosenbaum DM. Sonographic evaluation of abdominal lymphangiomas in children. J Ultrasound Med 1987; 6:487-495
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


4. Kutcher R, Mahadevia P, Nussbaum MK, Rosenblatt R, Freed S. Renal peripelvic multicystic lymphangiectasia. Urology 1987; 30:177-179
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


5. Murray KK, McLellan GL. Renal peripelvic lymphangiectasia: appearance at CT. Radiology 1991; 180:455-456.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


6. Riehl J, Schmitt H, Schafer L, Schneider B, Sieberth G. Retroperitoneal lymphangiectasia associated with bilateral renal vein thrombosis. Nephrol Dial Transplant 1997;12:1701-3
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


7. Davidson AJ, Hartman DS. Lymphangioma of the retroperitoneum: CT and sonographic characteristics. Radiology 1990;175:507-10.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


8. Varela JR, Bargiela A, Requejo I, Fernandez R, Darriba M, Pombo F. Bilateral renal lymphangiomatosis: US and CT findings. Eur Radiol 1998; 8:230-231
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


9. Ramseyer LT. Case 34: Renal lymphangiectasia. Radiology 2001;219:442-4
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


10. Zakim D, Boyer TD. Hepatology, pp. 764-788.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


11. Connors AF, Altose MD. Pleural Disease, p. 1839
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


12. Ashraf K, Raza SS, Ashraf O, Memon W, Memon A, Zubairi TA. Renal lymphangiectasia. Br J Radiol 2007 Jun;80(954):e117-8.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine




Search for articles with similar topics:

Keyword search:

1. Renal

2. lymphatic

3. cysts

4. pleural effusion

5. ascites

6. renal lymphangiectasia


This article belongs to the GU section.


Search for more in the Internet

Peer-reviewed Radiology Search




Discuss it!

Bookmark and Share




© Journal of Radiology Case Reports - The Interactive Radiology Journal
Affiliated journal of Radiolopolis - The International Radiology Community


The Journal of Radiology Case Reports