Female patient 15 yo with
pain at lumbar region.
Ultrasound and CT
detected perirenalcystic collection, kidney deplacement no
stone no hydronephrosis. CT urology with CE: no leaking of contrast to fluid,
but urologist suspected
urinoma ( CT 1, CT 2, crossed section , CT3 frontal section,
CT 4 2 kidneys deplacement, CT 5
urinary system).
Puncture of this
fluid analysis is not urine, like lymphatic fluid.
Operation at
right kidney with argon laser for ablation of right renal capsule, and the
left kidney was removed perirenal capsule.
Ultrasound of 2
kidneys shows normal structure with vascular supply (US
1, US 2, US 3, US 4 ascites).
And MRI
after 3 months of operation=The
right kid has many perirenal cysts, and left
kid has fluid collection arround without hydronephrosis ( MRI 1, MRI
2).
Conclusion:
this case is a congenital renal
lymphangiomatosis case.
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