Man
35 yo, hematuria repeated many
times with many dilated subcutaneous veins on the abdomen wall [photo].
US
of kidneys showed righ and left kidney looked like
hydronephrosis. But cannot detected the cause ( US 1, US 2) US 3 =
CDI of renal artery; US 4 =
spectral Doppler of pyramid arteries; US 5 = varicosis in urinary bladder wall.
CT
of kidney without CE ( CT 1)= HU of pelvis kidney = 8 UI
CT
2 with CE , CT 3: secretion phase; CT 4= small ureter on R and L
sides.
MRI 1, MRI 2= kidney non CE showed pelvis
kidneys dilated and fluid collection around 2 kidneys.
Ultrasound
of the leg = dilated chronic deep vein thrombosis.
Conclusion=
absence of IVC suprarenal with DVT of the legs, it is K I L T syndrome.
Reference:
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