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Tuesday 3 April 2018

CASE 485: CONGENITAL RENAL LYMPHANGIOMATOSIS, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM



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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