Gowri M, Jyothi B, Anunayi J, et al. Renal replacement lipomatosis
A non-obese 45 yrs. female patient presented with complaints of right loin swelling and pain on & off for 5 yrs. Physical examination revealed tenderness in right lumbar region and no palpable mass. External Genitalia was normal. Investigations like Haemogram, urea, creatinine, urine examination were within normal limits. UltrasoundAbdomen showed multiple renal calculi, right kidney poor window, left kidney was normal. CECT Abdomen suggestive of Right Renal Replacement lipomatosis with multiple renal calculi present, left kidney was normal. GeneXpert MTB/RIF PCR was not detected in the urine. Radioisotope Renogram with GFR (Figure 1) showed poorly functioning right kidney & normal left kidney, then patient underwent right open nephrectomy.
