Idiopathic renal replacement lipomatosis: A diagnostic and therapeutic challenge
Gajanan Bhat1
, Vijaykumar Barude1, Anuradha S1, Vinayak Tembadamani1, Suman Hegde2
1Division of Urology, Department of General Surgery, TSS Shripad Hegde Kadave Institute of Medical Sciences, Sirsi, India
2Department of Pathology, Shri Mahalaxmi Memorial Hospital, Sirsi, India
Abstract
Renal replacement lipomatosis is a rare benign renal disorder where the renal parenchyma is replaced by mature fatty tissue. It poses a diagnostic challenge to the clinicians due to an unusual presentation and clinical features. The disease usually presents in middle age with vague pain in the affected flank and variable urological symptoms. Although the condition is preceded by calculus disease or chronic inflammation, as an extremely rare occurrence, it can occur without any pre-existing condition, as in our case. Increasing awareness among the surgeons about the existence of such a condition will help the surgical fraternity to diagnose and manage such cases properly.
Keywords: Benign, lipomatosis, inflammation, pyelonephritis, nephrectomy
Cite this paper as: Bhat G, Barude V, Anuradha S, Tembadamani V, Hedge S. Idiopathic renal replacement lipomatosis: A diagnostic and therapeutic challenge. Turk J Surg 2018; DOI: 10.5152/turkjsurg.2017.3387
Written informed consent was obtained from patient who participated in this study.
Externally peer-reviewed.
Concept - G.B., A.S., S.H.; Design - G.B., V.B.; Supervision - G.B., V.T.; Resource - G.B., S.H.; Materials - G.B., V.B., S.H.; Data Collection and/or Processing - G.B., A.S.; Analysis and/or Interpretation - A.S.; Literature Search - G.B., S.H.; Writing Manuscript - G.B.; Critical Reviews - A.S., V.T.
The authors have no conflicts of interest to declare.
The authors declared that this study has received no financial support.