title: Secondary hypertension caused by massive renal lymphangiomatosis.
abstract: Renal lymphangiomatosis is a rare disease characterized by lymphatic vessel proliferation. We present a case of an adult patient with chronic flank pain, hypertension, and a right kidney mass. The magnetic resonance imaging findings were consistent with unilateral renal lymphangiomatosis. Technetium-99m dimercaptosuccinic acid renal scintilography revealed decreased ipsilateral renal function. From these findings, the patient underwent right nephrectomy, which resulted in complete remission of his hypertension and pain.
authors.affiliation: Division of Nephrology, Department of Medicine, University of São Paulo School of Medicine, São Paulo, Brazil.
authors.forename: Bruno E P
authors.initials: BE
authors.lastname: Balbo
authors.forename: Fábio C
authors.initials: FC
authors.lastname: Vicentini
authors.forename: Elieser H
authors.initials: EH
authors.lastname: Watanabe
authors.forename: Marcelo
authors.initials: M
authors.lastname: Hisano
authors.forename: Miguel
authors.initials: M
authors.lastname: Srougi
authors.forename: Luiz F
authors.initials: LF
authors.lastname: Onuchic
mesh_terms: D000328:Adult; D006801:Humans; D006973:Hypertension / Q000209:etiology*; D007680:Kidney Neoplasms / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D018190:Neoplasm, Lymphatic Tissue / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D009392:Nephrectomy