CASE 536: BILATERAL PERIRENAL LYMPHANGIOMATOSIS, Dr PHAN THANH HAI, Dr TRUONG DINH KHAI , Dr NGUYEN ANH TUAN, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

FEMALE  PATIENT 16 YO IN  HEALTH  CHECK-UP  BY ULTRASOUND  DETECTED ASCITES.
MSCT WITH CE FOR DIAGNOSIS= 
CT 1 : CROSSED SECTION DETECTED  2 KIDNEYS BEING PULL UP.

CT 2 : CROSSED SECTION  UPPER    2 CYSTS  RETROPERITONEUM.

CT 3  : SAGITTAL  VIEW, KIDNEYS DEFORMATION AND DEPLACEMENT.

CT 4 : 2 CYSTS RETROPERITONEUM

CT 5 : 3D VIEW  URINARY SYSTEM NORMAL  

RADIOLOGIST SUSPECTED  URINOMA.    PUNCTION ASPIRATION, THE FLUID IS NOT URINE BUT LIKE LYMPHATIC COLLECTION.

ARTER  PUNCTURE ASPIRATION  AND SCLEROTHERAPY.  

MRI 1=THE FLUID IS STILL UPPER  POLE OF  RIGHT KIDNEY AND AROUND LEFT KIDNEY. 

MRI 2 = VASCULAR SUPPLY FOR 2 KIDNEYS IS NORMAL.

ULTRASOUND REVIEW AFTER ONE YEAR.

US 1, US 2:   RIGHT KIDNEY.

US 3, US 4 : LEFT KIDNEY  SHOWED VASCULAR SUPPLY OF 2 KIDNEYS IS NORMAL AND  RENAL FUNCTION IS NORMAL.

CONCLUSION=  IT IS BILATERAL PERIRENAL LYMPHANGIOMATOSIS.