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Revista Cubana de Medicina Militar

On-line version ISSN 1561-3046

Abstract

RODRIGUEZ COLLAR, Tomás Lázaro. Bilateral renal lymphangiectasia. Rev Cub Med Mil [online]. 2020, vol.49, n.4  Epub Dec 01, 2020. ISSN 1561-3046.

Introduction:

The renal linfangiectasia is an uncommon, in which dilatation of the lymphatic renal vessels exists. It is usually bilateral and of good presage.

Objectives:

To present a case of renal bilateral lymphangiectasia, their clinical characteristics and aspects of the imaginologic diagnosis.

Clinical case:

Patient feminine of 59 years of age, with controlled hypertension that attended the external consultation of Urology for lumbar bilateral pain, of moderate intensity, and reddish coloration of the urine, both in an intermittent way. The general and regional physical exam was negative. Microhematuria was confirmed in the general exam of the urine. The sanguine studies of the analytic one were all normal ones. The renal ultrasound reported bilateral moderate pielocaliectasia and parapielic cysts, with left prevalence. The renal contrasted computed tomography revealed the presence of bilateral renal hipodenses formations, of aspect cystic parapielic and in the renal sinus, and compatible with bilateral linfangiectasia. The patient has evolved favorably.

Conclusions:

The renal linfangiectasia it should be kept in mind in the deferential diagnosis of the cystic renal illness. For the imaginologic diagnostic of certainty it is essential the renal contrasted computed tomography.

Keywords : kidney; congenital anomalies; renal lymphangiectasia; renal lymphangiomatosis; renal lymphangioma; tomography X- Rays computed.

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