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一例腹膜后肾淋巴管扩张破裂:一种罕见疾病的罕见并发症。

A ruptured renal lymphangiectasia in the retroperitoneum: A rare complication of a rare condition.

作者信息

Bouardi Nizar El, Haloua Meriam, Alami Badreddine, Youssef Alaoui Lamrani, Boubbou Meriem, Maaroufi Mustapha

机构信息

Radiology Department, Hassan II university hospital, 69 Quartier Riad, Avenue nasr; Agdal, Fez, Morocco.

Faculty of Medicine and Pharmacy, Sidi Mohammed Ben Abdellah University, Boite Postale 1893 - KM 2.200 Route Sidi Harazem Fès, 30070, Fez, Morocco.

出版信息

Radiol Case Rep. 2022 Nov 5;18(1):271-274. doi: 10.1016/j.radcr.2022.10.029. eCollection 2023 Jan.

Abstract

Renal lymphangiectasia is a rare and benign renal lymphatics disorder. It is usually asymptomatic, and rarely revealed by lumbar pain, arterial hypertension or retroperitoneal fluid collection. Radiological diagnostic is challenging and can be done if radiologists are aware of the imaging findings. Here in, we report a case of a young woman admitted for the management of a blunt abdominal trauma. Computed tomography showed a huge right retroperitoneal fluid collection, communicating with a perirenal cyst. This perirenal collection was bilateral and symmetrical. The diagnostic of a ruptured perirenal lymphangiectasia was suspected and confirmed by needle puncture. We managed the case using percutaneous drainage. Reassessment at subsequent follow-up visits showed a total regression of the collection improvement in the patient's clinical.

摘要

肾淋巴管扩张症是一种罕见的良性肾淋巴管疾病。它通常无症状,很少因腰痛、动脉高血压或腹膜后积液而被发现。放射学诊断具有挑战性,只有放射科医生了解影像学表现时才能做出诊断。在此,我们报告一例因钝性腹部创伤入院治疗的年轻女性病例。计算机断层扫描显示巨大的右腹膜后积液,与肾周囊肿相通。这种肾周积液是双侧对称的。怀疑为破裂的肾周淋巴管扩张症,并通过穿刺得到证实。我们采用经皮引流治疗该病例。后续随访复查显示积液完全消退,患者临床症状改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dce8/9647126/a47c24cd4e50/gr1.jpg

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