Renal lymphangiectasia presenting with hypertension and polycythemia

We report a very rare case of renal lymphangiectasia, an accumulation of lymph in the renal lymphatic system secondary to obstruction. Our patient presented to his family doctor for an annual check-up which resulted with high blood pressure and polycythemia. An ultrasound was performed and revealed...

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Bibliographic Details
Published in:Canadian Urological Association journal 2014-03, Vol.8 (3-4), p.E163-E166
Main Authors: Blanc, Mathieu, Schmutz, Gérard, Belzile, François, Sabbagh, Robert
Format: Article
Language:English
Subjects:
Care and treatment
Case Report
Case studies
Diagnosis
Hypertension
Lymphatic diseases
Polycythemia
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Summary:We report a very rare case of renal lymphangiectasia, an accumulation of lymph in the renal lymphatic system secondary to obstruction. Our patient presented to his family doctor for an annual check-up which resulted with high blood pressure and polycythemia. An ultrasound was performed and revealed a large right perirenal collection. A year later, a controlled abdominal computed tomography scan showed a progression and compression of perirenal collection on the right kidney, as well as apparition of a left perirenal collection. Percutaneous drainage of both collections was unsuccessful. Laparoscopy-guided marsupialisation was performed and successful. Blood pressure lowered to normal range without medication. The patient's hemoglobin level decreased within normal range after 3 additional phlebotomies postoperatively.
ISSN:1911-6470
1920-1214
DOI:10.5489/cuaj.1596