Issues‎ > ‎Vol5n2‎ > ‎

jsmc-10081


Case Report

RENAL LIPOMATOSIS


Hadeel Adnan Yasseen * and Aso Omer Rashed **


*   Department of Pathology, School of Medicine, Faculty of Medical Sciences, University of Sulaimani.
** Department of Surgery, School of Medicine, Faculty of Medical Sciences, University of Sulaimani.


Submitted: 24/1/2015; Accepted: 12/5/2015


ABSTRACT


Replacement lipomatosis is thought to be a spectrum of degenerative process. The mildest form is called renal sinus lipomatosis and is usually associated with obesity, atherosclerosis or use of exogenous steroids and it has no clinical significance, while renal replacement lipomatosis is associated with long-standing inflammation and calculi as in this case. The current case report highlights the benefit of imaging techniques for suggesting this condition since early diagnosis and relieving calyceal obstruction can improve renal function and hopefully prevent progressive cortical atrophy while deficient techniques and reports may end with impaired renal function and unfortunately subsequent nephrectomy.

KEYWORDS

Lipomatosis, Kidney, Lipoma.

References 
  1. Yagci C, Kosucu P, Yorubulut M, Akyar S. Renal replacement lipomatosis: Ultrasonography and computed tomography findings. Eur Radiol. 1999;9:1599–601. [PubMed]
  2. Setty NHA, Uma K, Narvekar VN, Desai RS. Bilateral Idiopathic Replacement Lipomatosis of the kidney with Posterior Mediastinal Lipomatosis. Indian J Radiol Imaging 2002;12:251-2.        
  3. Xu Y, Liu RL, Zhang ZH, Zhao WM, Yang QC. Renal replacement lipomatosis. Eur Surg Res 2006;38:385-7.        
  4. Peacock AH, Balle A. Renal lipomatosis. Ann Surg 1936;103:395-401.        
  5. Karasick S, Wechsler RJ. Replacement lipomatosis of the kidney. Radiology. 2000;215:754–6. [PubMed]
  6. Kocaoglu M, Bozlar U, Sanal HT, Guvenc I. Replacement lipomatosis: CT and MRI findings of a rare renal mass. Br J Radiol 2007;80:e287-9.
  7.  Maria Aurora Posadas, Elizabeth Chua, Beje Thomas, Stephen J. Savage, and Prabhakar Baliga. Allograft dysfunction in a patient with an odd-looking kidney: case of renal lipomatosis and review of literature. Clin Kidney J 2012;5:359-361
  8. Shailja P Wahal, Kavita Mardi. Idiopathic renal replacement lipomatosis: A rare renal pseudo tumor. J Can Res Ther 2014;10;428-430
  9. Ginat DT, Bhat S, Dogra VS, Guvenc I. Replacement lipomatosis of the kidney: Sonographic features. J Ultrasound Med. 2008;27:1393–5. 
  10. N. A. Choh, M Jehangir, S. A. ChohRenal replacement lipomatosis: A rare type of renal pseudotumor Indian J Nephrol. Apr 2010; 20(2): 92–93. 
  11.  Romero, Frederico R; Pilati, Roberto; Caboclo, Maria Fernanda Sales Ferreira et al. Renal replacement lipomatosis and xanthogranulomatous pyelonephritis: differential diagnosis. Rev Assoc Med Bras 2011; 57(3):262-265