Hygroma renale: pararenal lymphatic cysts associated with renin-dependent hypertension (Page kidney). Case report on bilateral cysts and successful therapy by marsupialization

Details

Serval ID
serval:BIB_0777F1D23B9B
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Hygroma renale: pararenal lymphatic cysts associated with renin-dependent hypertension (Page kidney). Case report on bilateral cysts and successful therapy by marsupialization
Journal
Journal of Urology
Author(s)
Schwarz  A., Lenz  T., Klaen  R., Offermann  G., Fiedler  U., Nussberger  J.
ISSN
0022-5347 (Print)
Publication state
Published
Issued date
09/1993
Volume
150
Number
3
Pages
953-7
Notes
Case Reports
Journal Article
Review --- Old month value: Sep
Abstract
A total of 42 cases of large symptomatic parapelvic or pararenal lymphatic cysts has been reported since 1890, of which 54% were associated with hypertension and 14% were bilateral. We report on a patient in whom during a 3-month period abdominal pain and distention developed successively on both sides associated with hypertension. Initially, ultrasound and computerized tomography revealed a large multicystic pararenal lymphatic mass on the right side and small parapelvic hilus lesions on the left side. Two months after resection and marsupialization of the large cyst on the right side the small hilus lesions on the left side developed into large pararenal cysts requiring the same therapeutic measures. Hypertension was reversible after surgery in both instances; at the second operation high preoperative and lower postoperative renin activity, active renin, total renin, aldosterone and atrial natriuretic factor in plasma were noted. Immunoreactive active and total renin levels in the lymph fluid were elevated, a finding that may be explained by the renal origin of the lymph. Marsupialization is a kidney preserving measure that reverses all symptoms of large pararenal cysts, including Page kidney hypertension.
Keywords
Adult Humans Hypertension, Renovascular/etiology/*surgery Kidney Diseases, Cystic/complications/pathology/*surgery Kidney Neoplasms/complications/*surgery Lymphangioma/complications/*surgery Lymphocele/etiology/*surgery Male Renin Surgical Procedures, Operative/methods
Pubmed
Web of science
Create date
05/03/2008 16:39
Last modification date
20/08/2019 12:29
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