Capote PLL, Rodríguez BR, De La Concepción GOM, Hernández BK

Language: Spanish
References: 10
Page: 61-65
PDF size: 712.37 Kb.

ABSTRACT

Clinical Case: Renal lymphangiectasia is a rarely reported in literature. This disease can be congenital or acquired and probably caused by an alteration in the renal lymphatic drainage to the retroperitoneal lymphatic ducts. Objective: To present a patient with symptoms, imaging and scintigraphic findings compatible with the diagnosis of renal lymphangiectasia. Clinical case: This is a 43-year-old woman with a white skin color who consults for lumbar pain and microhaematuria, with normal blood pressure and renal function. Computed tomography showed cystic mass in both renal sinuses without parenchymal alterations and that did not change density with the passage of contrast, which allowed the diagnosis of bilateral renal lymphangiectasia. Scintigraphic studies with MAG 3 Tc showed no obstruction of the urinary tract. The patient was treated with analgesics and dietary hygienic guidelines. Conclusions: Renal lymphangiectasia is a rare disease that is possible to diagnose with the use of contrast computed tomography, this test has allowed differential diagnosis with other renal cystic lesions, so it is increasingly common in the literature.

REFERENCES

1. AshrafK, Raza SS, Ashraf O, Memon W, Memon A, Zubairi TAA. Renal lymphangiectasia. Br J Radiol. 2007 [citado Dic 2017];80:e117- 8. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/176840 71

2. Vaidehi Pandya K, Harsh Sutariya C, Shruti Gandhi P, Sajni Khemchandani I, Himanshu Patel V, Maulin Shah K. Role of CT scan in diagnosis of renal lymphangiectasia: our single-center experience. Renal Failure. 2017 [citado Ene 2018];39:533-9. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PM C6014307/

3. Meredith WT, Levine E, Ahlstrom NG, Grantham JJ. Exacerbation of familial renal lymphangiomatosis during pregnancy. AJR Am J. Roentgenol. 1988 [citado Dic 2017];151:965-6. Disponible en: https://ogscience.org/search.php?where=aview &id=10.5468/

4. Gupta R, Sharma R, Gamanagatti S. Unilateral renal lymphangiectasia: imaging appearance on sonography, CT and MRI. Int Urol Nephrol. 2017 [citado Dic 2017];39:361-4. Disponible en: https://www.tandfonline.com/doi/full/10.1080 /0886022X.2017.1337584

5. Elbanna KY, Almutairi BM, AT. Bilateral Renal Lymphangiectasia: Radiological Findings by Ultrasound, Computed Tomography, and Magnetic Resonance Imaging. J Clin Imaging Sci. 2015;5:6.doi:10.4103/2156-7514.150449

6. Páramo PG. Hiliosinuquistosis renal. Clínicas Urológicas de la Complutense 2018 [citado Ene 2018];1:277-319. Disponible en: https://www.revistas.ucm.es/index.php/CLUR/ article/.../CLUR9292110277A

7. Restrepo JM, López Amaya JE, Sepúlveda NA, Uribe VM, Massaro M. Linfangiectasia renal. Hallazgos por TCMD y RM. Rev Colomb Radiol. 2011 [citado Ene 2018];22:(3):3272-80. Disponible en: https://www.webcir.org/revistavirtual/articulos /.../colombia/col_espanol.pd

8. Vega J, Santamarina M. Linfangiectasia renal unilateral. Caso clínico. Rev Med Chile. 2012 [citado Ene 2018];140:1312-5. Disponible en: https://www.scielo.conicyt.cl/pdf/rmc/v140n10 /art11.p

9. Bazari H, Attar EC, Dahl DM, Uppot RN, Colvin RN. Case records of the Massachusetts General Hospital. Case 23-2010. A 49-year-old man with erythrocytosis, perinephric fluid collections, and renal failure. N Engl J Med 2010;363:463-75. Disponible en: https://www.ncbi.nlm.nih.gov/m/pubmed/208 18867

10. Rodrigo Abdalla de Vasconcelos, Emanuelle Santiago Pereira, Tufik Bauab Junior, Rodolfo Silva Valente. Linfangiectasia renal: achado incidental em tomografia computadorizada multicorte e revisão da literatura. Radiol Bras. 2012 [citado Ene 2018];45(3). Disponible en: http://dx.doi.org/10.1590/S0100- 39842012000300013