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Case 34: Renal Lymphangiectasia1

Lorenz T. Ramseyer, MD

1 From Bass Baptist Memorial Hospital, 600 S Monroe, Enid, OK 73701. Received May 28, 1999; revision requested July 20; revision received August 26; accepted August 30. Address correspondence to the author (e-mail: lramseyer@peakonline.com).



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  		Figure 1. Anteroposterior abdominal excretory urogram shows bilateral nephromegaly (arrows) with distortion of the pelvocaliceal systems.

 


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  		Figure 2a. Sequential transverse contrast material-enhanced abdominal CT images (window width, 350 HU; window level, 0 HU) demonstrate bilateral perirenal fluid collections (large white arrows), peripelvic fluid collections (small white arrows), and retroperitoneal fluid collection (black arrow). Attenuation measurements consistent with fluid are shown in b.

 


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  		Figure 2b. Sequential transverse contrast material-enhanced abdominal CT images (window width, 350 HU; window level, 0 HU) demonstrate bilateral perirenal fluid collections (large white arrows), peripelvic fluid collections (small white arrows), and retroperitoneal fluid collection (black arrow). Attenuation measurements consistent with fluid are shown in b.

 


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  		Figure 2c. Sequential transverse contrast material-enhanced abdominal CT images (window width, 350 HU; window level, 0 HU) demonstrate bilateral perirenal fluid collections (large white arrows), peripelvic fluid collections (small white arrows), and retroperitoneal fluid collection (black arrow). Attenuation measurements consistent with fluid are shown in b.

 




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