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Case Report: Bilateral renal lymphangiomatosis with atypical manifestations in an elderly patient

Year: 2025

Type: article

Abstract: Renal lymphangiomatosis is a rare, benign malformation of the renal lymphatic system. This case report describes an atypical presentation in a 63-year-old male who presented with acute fever and left lower abdominal pain, accompanied by elevated inflammatory markers. Contrast-enhanced computed tomography (CT) revealed bilateral, non-enhancing cystic lesions within the renal pelves, which was diagnostic. The patient was managed conservatively with antibiotics and anti-inflammatory medication, resulting in complete resolution of symptoms. This case highlights the variable clinical presentation of renal lymphangiomatosis, emphasizes the central role of contrast-enhanced CT in its diagnosis, and demonstrates that conservative management can be effective, even in the context of an acute inflammatory episode.

Source: Frontiers in Medicine

DOI: 10.3389/fmed.2025.1665812

Authors: Dingli Hu, Yang Yuan, Bing Wang, Yunlong Li

Institutions: Jiangsu University, First People's Hospital of Kunshan, Panzhihua Central Hospital

Language: English

Topic: Vascular Malformations and Hemangiomas

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,801