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Erschienen in: Abdominal Radiology 4/2013

01.08.2013

Bilateral renal lymphangiomatosis: imaging and histopathologic findings

verfasst von: R. Karkouche, L. Rocher, C. Guettier, G. Corcos, G. Benoît, H. Fernandez, S. Ferlicot

Erschienen in: Abdominal Radiology | Ausgabe 4/2013

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Abstract

Renal lymphangiomatosis is an extremely rare disease characterized by developmental malformation of the lymphatic system surrounding the kidneys. We present the case of a 22-year-old pregnant female discovered because of worsening. Ultrasound, computed tomography, and magnetic resonance imaging studies were performed. An 18 × 11 × 10 cm voluminous cystic subcapsular lesion compressing the left kidney and subcapsular cysts of the right kidney were found. After the delivery, marsupialization was performed and the pathological analysis confirmed the diagnosis of lymphangiomatosis. A review of the literature is proposed.
Literatur
1.
Zurück zum Zitat Mani NBS, Sodhi KS, Singh P, et al. (2003) Renal lymphangiomatosis: a rare cause of bilateral nephromegaly. Australas Radiol 47:184–187PubMedCrossRef Mani NBS, Sodhi KS, Singh P, et al. (2003) Renal lymphangiomatosis: a rare cause of bilateral nephromegaly. Australas Radiol 47:184–187PubMedCrossRef
2.
Zurück zum Zitat Hakeem A, Gojwari TA, Reyaz S, et al. (2010) Computed tomography findings in bilateral perinephric lymphangiomatosis. Urol Ann 2:26–28PubMedCrossRef Hakeem A, Gojwari TA, Reyaz S, et al. (2010) Computed tomography findings in bilateral perinephric lymphangiomatosis. Urol Ann 2:26–28PubMedCrossRef
3.
Zurück zum Zitat Sarno RC, Carter BL, Bankoff MS (1984) Cystic lymphangiomas: CT diagnosis and thin needle aspiration. Br J Radiol 57:424–426PubMedCrossRef Sarno RC, Carter BL, Bankoff MS (1984) Cystic lymphangiomas: CT diagnosis and thin needle aspiration. Br J Radiol 57:424–426PubMedCrossRef
4.
Zurück zum Zitat Hauser H, Mischinger HJ, Beham A, et al. (1997) Cystic retroperitoneal lymphangiomas in adults. Eur J Surg Oncol 23:322–326PubMedCrossRef Hauser H, Mischinger HJ, Beham A, et al. (1997) Cystic retroperitoneal lymphangiomas in adults. Eur J Surg Oncol 23:322–326PubMedCrossRef
5.
Zurück zum Zitat Schwarz A, Lenz T, Klaen R, et al. (1993) Hygroma renale: pararenal lymphatic cysts associated with renin-dependent hypertension (Page kidney). Case report on bilateral cysts and successful therapy by marsupialization. J Urol 150:953–957PubMed Schwarz A, Lenz T, Klaen R, et al. (1993) Hygroma renale: pararenal lymphatic cysts associated with renin-dependent hypertension (Page kidney). Case report on bilateral cysts and successful therapy by marsupialization. J Urol 150:953–957PubMed
6.
Zurück zum Zitat Murray KK, McLellan GL (1991) Renal peripelvic lymphangiectasia: appearance at CT. Radiology 180:455–456PubMed Murray KK, McLellan GL (1991) Renal peripelvic lymphangiectasia: appearance at CT. Radiology 180:455–456PubMed
7.
Zurück zum Zitat Kutcher R, Mahadevia P, Nussbaum MK, Rosenblatt R, Freed S (1987) Renal peripelvic multicystic lymphangiectasia. Urology 30:177–179PubMedCrossRef Kutcher R, Mahadevia P, Nussbaum MK, Rosenblatt R, Freed S (1987) Renal peripelvic multicystic lymphangiectasia. Urology 30:177–179PubMedCrossRef
8.
Zurück zum Zitat Riehl J, Schmitt H, Schäfer L, Schneider B, Sieberth HG (1997) Retroperitoneal lymphangiectasia associated with bilateral renal vein thrombosis. Nephrol Dial Transpl 12:1701–1703CrossRef Riehl J, Schmitt H, Schäfer L, Schneider B, Sieberth HG (1997) Retroperitoneal lymphangiectasia associated with bilateral renal vein thrombosis. Nephrol Dial Transpl 12:1701–1703CrossRef
9.
Zurück zum Zitat Ramseyer LT (2001) Case 34: renal lymphangiectasia. Radiology 219:442–444PubMed Ramseyer LT (2001) Case 34: renal lymphangiectasia. Radiology 219:442–444PubMed
10.
Zurück zum Zitat Meredith WT, Levine E, Ahlstrom NG, Grantham JJ (1988) Exacerbation of familial renal lymphangiomatosis during pregnancy. AJR Am J Roentgenol 151:965–966PubMedCrossRef Meredith WT, Levine E, Ahlstrom NG, Grantham JJ (1988) Exacerbation of familial renal lymphangiomatosis during pregnancy. AJR Am J Roentgenol 151:965–966PubMedCrossRef
11.
Zurück zum Zitat Antonopoulos P, Charalampopoulos G, Constantinidis F, Tavernaraki K, Skolarikos A (2010) Familial renal retroperitoneal lymphangiomatosis: personal experience and review of literature. JBR-BTR 93:258–261PubMed Antonopoulos P, Charalampopoulos G, Constantinidis F, Tavernaraki K, Skolarikos A (2010) Familial renal retroperitoneal lymphangiomatosis: personal experience and review of literature. JBR-BTR 93:258–261PubMed
12.
Zurück zum Zitat Leder RA (1995) Genitourinary case of the day. Renal lymphangiomatosis. AJR Am J Roentgenol 165:197–198PubMedCrossRef Leder RA (1995) Genitourinary case of the day. Renal lymphangiomatosis. AJR Am J Roentgenol 165:197–198PubMedCrossRef
13.
Zurück zum Zitat Varela JR, Bargiela A, Requejo I, et al. (1998) Bilateral renal lymphangiomatosis: US and CT findings. Eur Radiol 8:230–231PubMedCrossRef Varela JR, Bargiela A, Requejo I, et al. (1998) Bilateral renal lymphangiomatosis: US and CT findings. Eur Radiol 8:230–231PubMedCrossRef
14.
Zurück zum Zitat Davidson AJ, Hartman DS (1990) Lymphangioma of the retroperitoneum: CT and sonographic characteristic. Radiology 175:507–510PubMed Davidson AJ, Hartman DS (1990) Lymphangioma of the retroperitoneum: CT and sonographic characteristic. Radiology 175:507–510PubMed
15.
Zurück zum Zitat Ozmen M, Deren O, Akata D, et al. (2001) Renal lymphangiomatosis during pregnancy: management with percutaneous drainage. Eur Radiol 11:37–40PubMedCrossRef Ozmen M, Deren O, Akata D, et al. (2001) Renal lymphangiomatosis during pregnancy: management with percutaneous drainage. Eur Radiol 11:37–40PubMedCrossRef
16.
Zurück zum Zitat Green R, Hatton TM (1987) Renal tubular function in gestation. Am J Kidney Dis 9:265–269PubMed Green R, Hatton TM (1987) Renal tubular function in gestation. Am J Kidney Dis 9:265–269PubMed
17.
Zurück zum Zitat Sarikaya B, Akturk Y, Bekar U, Topaloglu S (2006) Bilateral renal lymphangiomatosis mimicking hydronephrosis: multidetector CT urographic findings. Abdom Imaging 31:732–734PubMedCrossRef Sarikaya B, Akturk Y, Bekar U, Topaloglu S (2006) Bilateral renal lymphangiomatosis mimicking hydronephrosis: multidetector CT urographic findings. Abdom Imaging 31:732–734PubMedCrossRef
18.
Zurück zum Zitat Younathan CM, Kaude JV (1992) Renal peripelvic lymphatic cysts (lymphangiomas) associated with generalized lymphangiomatosis. Urol Radiol 14:161–164PubMedCrossRef Younathan CM, Kaude JV (1992) Renal peripelvic lymphatic cysts (lymphangiomas) associated with generalized lymphangiomatosis. Urol Radiol 14:161–164PubMedCrossRef
19.
Zurück zum Zitat Cutillo DP, Swayne LC, Cucco J, Dougan H (1989) CT and MR imaging in cystic abdominal lymphangiomatosis. J Comput Assist Tomogr 13:534–536PubMedCrossRef Cutillo DP, Swayne LC, Cucco J, Dougan H (1989) CT and MR imaging in cystic abdominal lymphangiomatosis. J Comput Assist Tomogr 13:534–536PubMedCrossRef
20.
Zurück zum Zitat Beveridge N, Allen L, Rogers K (2010) Lymphoscintigraphy in the diagnosis of lymphangiomatosis. Clin Nucl Med 35:579–582PubMedCrossRef Beveridge N, Allen L, Rogers K (2010) Lymphoscintigraphy in the diagnosis of lymphangiomatosis. Clin Nucl Med 35:579–582PubMedCrossRef
21.
Zurück zum Zitat Kahn HJ, Marks A (2002) A new monoclonal antibody, D2-40, for detection of lymphatic invasion in primary tumors. Lab Invest 82:1255–1257PubMed Kahn HJ, Marks A (2002) A new monoclonal antibody, D2-40, for detection of lymphatic invasion in primary tumors. Lab Invest 82:1255–1257PubMed
22.
Zurück zum Zitat Kahn HJ, Bailey D, Marks A (2002) Monoclonal antibody D2-40, a new marker of lymphatic endothelium, reacts with Kaposi’s sarcoma and a subset of angiosarcomas. Mod Pathol 15:434–440PubMedCrossRef Kahn HJ, Bailey D, Marks A (2002) Monoclonal antibody D2-40, a new marker of lymphatic endothelium, reacts with Kaposi’s sarcoma and a subset of angiosarcomas. Mod Pathol 15:434–440PubMedCrossRef
23.
Zurück zum Zitat Anderson C, Knibbs DR, Ludwig ME, Ely MG (1992) Lymphangioma of the kidney: a pathologic entity distinct from solitary multilocular cyst. Hum Pathol 23:465–468PubMedCrossRef Anderson C, Knibbs DR, Ludwig ME, Ely MG (1992) Lymphangioma of the kidney: a pathologic entity distinct from solitary multilocular cyst. Hum Pathol 23:465–468PubMedCrossRef
24.
Zurück zum Zitat Yamaguchi Y, Kinouchii T, Yasuhara Y, et al. (2007) Renal lymphangioma: report of a case. Hinyokika Kiyo 53:113–115PubMed Yamaguchi Y, Kinouchii T, Yasuhara Y, et al. (2007) Renal lymphangioma: report of a case. Hinyokika Kiyo 53:113–115PubMed
25.
Zurück zum Zitat Valerio M, Meuwly J-Y, Tawadros C, Jichlinski P (2012) Percutaneous drainage and sclerotherapy as definitive treatment of renal lymphangiomatosis. Can Urol Assoc J 6:E3–E7PubMed Valerio M, Meuwly J-Y, Tawadros C, Jichlinski P (2012) Percutaneous drainage and sclerotherapy as definitive treatment of renal lymphangiomatosis. Can Urol Assoc J 6:E3–E7PubMed
26.
Zurück zum Zitat Wadhwa P, Kumar A, Sharma S, Dogra PN, Hemal AK (2006) Renal lymphangiomatosis: imaging and management of a rare renal anomaly. Int Urol Nephrol 39:365–368PubMedCrossRef Wadhwa P, Kumar A, Sharma S, Dogra PN, Hemal AK (2006) Renal lymphangiomatosis: imaging and management of a rare renal anomaly. Int Urol Nephrol 39:365–368PubMedCrossRef
27.
Zurück zum Zitat Bagheri MH, Zare Z, Sefidbakht S, et al. (2009) Bilateral renal lymphangiomatosis: sonographic findings. J Clin Ultrasound 37:115–118PubMedCrossRef Bagheri MH, Zare Z, Sefidbakht S, et al. (2009) Bilateral renal lymphangiomatosis: sonographic findings. J Clin Ultrasound 37:115–118PubMedCrossRef
28.
Zurück zum Zitat Magu S, Agarwal S, Dalaal SK (2010) Bilateral renal lymphangioma—an incidental finding. Indian J Nephrol 20:114–115PubMedCrossRef Magu S, Agarwal S, Dalaal SK (2010) Bilateral renal lymphangioma—an incidental finding. Indian J Nephrol 20:114–115PubMedCrossRef
29.
Zurück zum Zitat Celebi N, Horger M, Wolf S, et al. (2012) The case | odd-looking kidneys. Renal lymphangiomatosis. Kidney Int 81:121–122PubMedCrossRef Celebi N, Horger M, Wolf S, et al. (2012) The case | odd-looking kidneys. Renal lymphangiomatosis. Kidney Int 81:121–122PubMedCrossRef
Metadaten
Titel
Bilateral renal lymphangiomatosis: imaging and histopathologic findings
verfasst von
R. Karkouche
L. Rocher
C. Guettier
G. Corcos
G. Benoît
H. Fernandez
S. Ferlicot
Publikationsdatum
01.08.2013
Verlag
Springer US
Erschienen in
Abdominal Radiology / Ausgabe 4/2013
Print ISSN: 2366-004X
Elektronische ISSN: 2366-0058
DOI
https://doi.org/10.1007/s00261-012-9977-0

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