title: Renal lymphangiectasia presenting with hypertension and polycythemia.
abstract: We report a very rare case of renal lymphangiectasia, an accumulation of lymph in the renal lymphatic system secondary to obstruction. Our patient presented to his family doctor for an annual check-up which resulted with high blood pressure and polycythemia. An ultrasound was performed and revealed a large right perirenal collection. A year later, a controlled abdominal computed tomography scan showed a progression and compression of perirenal collection on the right kidney, as well as apparition of a left perirenal collection. Percutaneous drainage of both collections was unsuccessful. Laparoscopy-guided marsupialisation was performed and successful. Blood pressure lowered to normal range without medication. The patient's hemoglobin level decreased within normal range after 3 additional phlebotomies postoperatively.
authors.affiliation: Radiology Department, Faculté de Médecine et des Science de la Santé de l'Université de Sherbrooke, Centre Hospitalier de l'Université de Sherbrooke (CHUS), Sherbrooke, QC;
authors.forename: Mathieu
authors.initials: M
authors.lastname: Blanc
authors.affiliation: Radiology Department, Faculté de Médecine et des Science de la Santé de l'Université de Sherbrooke, Centre Hospitalier de l'Université de Sherbrooke (CHUS), Sherbrooke, QC;
authors.forename: Gérard
authors.initials: G
authors.lastname: Schmutz
authors.affiliation: Radiology Department, Faculté de Médecine et des Science de la Santé de l'Université de Sherbrooke, Centre Hospitalier de l'Université de Sherbrooke (CHUS), Sherbrooke, QC;
authors.forename: François
authors.initials: F
authors.lastname: Belzile
authors.affiliation: Surgery Department, Division of Urology, Faculté de Médecine et des Science de la Santé de l'Université de Sherbrooke, Centre Hospitalier de l'Université de Sherbrooke (CHUS), Sherbrooke, QC.
authors.forename: Robert
authors.initials: R
authors.lastname: Sabbagh