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Friday, 10 August 2018

CASE 506: RENAL SINUS INFLAMMATORY PSEUDO- TUMOR, Dr PHAN THANH HẢI, Prof NGUYỄN TUẤN VINH, MEDIC MEDICAL CENTER, HCMC, VIETNAM.



Man 64 yo with clinical nocturia.
Renal ultrasound detected abnormal at right kidney.
US1 : Right big renal hilus and hyperechoic.


US 2:  Crossed-section of right kidney  shows hilus vascular compression.  


US 3:   Small size of right kidney  pelvis.




US 4:   In elastographic ultrasound, right renal hilus is hard.



MRI of  abdomen.
MRI 1 = Right kidney in normal size, no hydronephrosis but renal hilus is covered by one mass  look like a tumor.


MRI 2 =  Mass of  solid structure covered the right renal hilus.


MRI 3 = In frontal view, right pelvic kidney is small by this mass compressed.



Endoscopic surgery=  right pelvic kidney is  normal  without tumor.


Laparoscopy  detected  the abnormal fatty mass covered the hilus kidney. Biopsy  no tumor detected.
Microscopic report is  inflammed fatty tissue of renal hilus, that is a pseudotumor.



Reference : Hilus renal fatty stranding.



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