Renal peripelvic lymphangiectasia: appearance at CT
1Department of Radiology, University of Florida College of Medicine, Gainesville.
Radiology
|August 1, 1991
Summary
Peripelvic lymphangiectasia, a rare condition, was diagnosed in a patient after emergency nephrectomy. Computed tomography revealed renal sinus cysts and fluid surrounding mesenteric vessels, confirming the diagnosis.
Area of Science:
- Nephrology
- Radiology
- Pathology
Background:
- Cystic diseases of the kidney can present with varied imaging findings.
- Peripelvic lymphangiectasia is a rare condition characterized by lymphatic cysts in the renal sinus.
Observation:
- A patient underwent emergency nephrectomy and subsequent computed tomography (CT) of the remaining kidney.
- Pathologic diagnosis revealed peripelvic lymphangiectasia.
Findings:
- CT demonstrated large multilocular renal sinus cysts and renal capsular cysts.
- Fluid attenuation surrounding mesenteric vessels was also noted, consistent with peripelvic lymphangiectasia.
Implications:
- This case highlights the importance of recognizing imaging features of peripelvic lymphangiectasia.
- Understanding cystic disease of the renal sinus aids in accurate diagnosis and patient management.
