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.
Department of Nephrology, Osmangazi University School of Medicine, Eskisehir, Turkey. auyalcin@ogu.edu.tr
Ahmet Ugur
AU
Yalcin
Nevbahar
N
Akcar
Cavit
C
Can
Emine
E
Kasapoglu
Garip
G
Sahin
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