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Case Reports
. 2020 Jul 21:2020:8824833.
doi: 10.1155/2020/8824833. eCollection 2020.

Posttransplant Intrarenal Lymphangiectasia

Ali Kord  1 , Enrico Benedetti  2 , James T Bui  1
Affiliations
Case Reports

Posttransplant Intrarenal Lymphangiectasia

Ali Kord et al. Case Rep Transplant. .

Abstract

Renal lymphangiectasia is an extremely rare benign condition in the setting of transplanted kidneys. We describe a 50-year-old female with a past medical history of lupus nephritis and renal transplants who presented with right lower quadrant pain and was found to have intrarenal lymphangiectasia on imaging and laboratory tests. The patient was treated with percutaneous drainage initially and then wide peritoneal fenestration and omentoplasty. An extremely rare adult case with intrarenal lymphangiectasia thirteen months after kidney transplant was described in this study. Imaging, particularly computed tomography (CT) and magnetic resonance imaging (MRI), plays a key role in the diagnosis of renal lymphangiectasia.

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Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

Figure 1
Figure 1
Right lower quadrant transplanted kidney. Ultrasound shows a complex, septated collection in the renal pelvis mimicking hydronephrosis (arrows, (a)) which was confirmed on the corresponding postcontrast fat-saturated axial MRI (arrows, (b)).
Figure 2
Figure 2
Coronal MRI of transplanted kidney. Postcontrast fat-saturated (a, c) and T2-weighted (b) show a nonenhancing peripelvic multiseptated fluid collection centered in the renal hilum which is hypointense on T1-weighted images and hyperintense on T2-weighted images (arrows, (a, b)). The fluid collection is encasing the hilar vasculature (arrowhead, (c)) and insinuating parallel to the ureter (dotted arrow, (c)) but is separate from the collecting system. There is no vascular displacement or hydronephrosis.
See this image and copyright information in PMC

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