An unusual presentation for nephrotic syndrome. Bilateral perirenal subcapsular fluid collection.
We present a 30-year-old man with nephrotic syndrome presenting with bilateral perirenal massive collection compatible with transudation. After drainage of collections kidney biopsy was performed and the histologic diagnosis was focal and segmental glomerulosclerosis. The patient was treated with cyclophosphamide, prednisone, furosemide and enalapril. After remission of nephrotic syndrome renal ultrasound showed complete resolution of perirenal collections. In conclusion, the case shows that perirenal subcapsular transudation is a rare complication of nephrotic syndrome and massive collections can be treated successfully by percutaneous drainage.
Yalcin
Ahmet Ugur
AU
Department of Nephrology, Osmangazi University School of Medicine, Eskisehir, Turkey. auyalcin@ogu.edu.tr
Akcar
Nevbahar
N
Can
Cavit
C
Kasapoglu
Emine
E
Sahin
Garip
G
D000328:Adult; D004322:Drainage; D005122:Exudates and Transudates; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging; D008297:Male; D009404:Nephrotic Syndrome / Q000000981:diagnostic imaging* / Q000628:therapy; D011859:Radiography; D014463:Ultrasonography