Barghouth Ibrahim, Hassan Qussai, Saad Anas, Obied Amjad, Alhomsi Dima
National University Hospital Damascus University Damascus Syrian Arab Republic.
Damascus University Damascus Syrian Arab Republic.
Clin Case Rep. 2025 Sep 26;13(10):e71025. doi: 10.1002/ccr3.71025. eCollection 2025 Oct.
Renal lymphangiectasia is a rare condition resulting from miscommunication between renal and retroperitoneal lymphatic ducts, causing ductal dilatation and lymphatic fluid collection. In this report, we present this condition and highlight an uncommon management approach involving cyst marsupialization. A 24-year-old female presented with flank pain and lumbar tenderness. Ultrasonography revealed a fluid collection, further evaluated by contrast-enhanced CT, which provided additional details and ruled out urine as the source. Fluid analysis confirmed its lymphatic origin, leading to a diagnosis of renal lymphangiectasia. The condition was managed with marsupialization into the peritoneal cavity. At a one-year follow-up, the patient's symptoms had resolved, and ultrasonography showed that the kidney was decompressed with no fluid collection. This case of renal lymphangiectasia underscores its diagnostic challenges and sheds light on the rarely reported marsupialization technique, demonstrating its potential effectiveness and contributing to the growing literature on this rare condition.
肾淋巴管扩张症是一种罕见的病症，由肾淋巴管与腹膜后淋巴管之间的沟通不畅引起，导致导管扩张和淋巴液积聚。在本报告中，我们介绍了这种病症，并强调了一种涉及囊肿造袋术的不常见治疗方法。一名24岁女性出现侧腹疼痛和腰部压痛。超声检查发现有液体积聚，通过增强CT进一步评估，提供了更多细节并排除了尿液是液体积聚的来源。液体分析证实其起源于淋巴管，从而诊断为肾淋巴管扩张症。该病症通过将囊肿造袋至腹腔进行治疗。在一年的随访中，患者症状已缓解，超声检查显示肾脏减压且无液体积聚。这例肾淋巴管扩张症病例凸显了其诊断挑战，并揭示了很少报道的造袋术技术，证明了其潜在有效性，也为关于这种罕见病症的不断增长的文献做出了贡献。
