Lin QZ, Wang HE, Wei D, Bao YF, Li H, Wang T. Pleural effusion and ascites in extrarenal lymphangiectasia caused by post-biopsy hematoma: A case report. World J Clin Cases 2020; 8(24): 6330-6336 [PMID: 33392314 DOI: 10.12998/wjcc.v8.i24.6330]
Corresponding Author of This Article
Tao Wang, MD, PhD, Chief Physician, Professor, Department of Nephrology, The First Hospital of Hebei Medical University, No. 89 East Donggang Road, Shijiazhuang 050000, Hebei Province, China. yanzhang@hbmu.edu
Research Domain of This Article
Urology & Nephrology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Dec 26, 2020; 8(24): 6330-6336 Published online Dec 26, 2020. doi: 10.12998/wjcc.v8.i24.6330
Pleural effusion and ascites in extrarenal lymphangiectasia caused by post-biopsy hematoma: A case report
Qiong-Zhen Lin, Hui-En Wang, Dong Wei, Yun-Feng Bao, Hang Li, Tao Wang
Qiong-Zhen Lin, Department of Nephrology, The Third Hospital of Hebei Medical University, Shijiazhuang 050051, Hebei Province, China
Hui-En Wang, Department of Thoracic Surgery, Hebei Provincial General Hospital, Shijiazhuang 050051, Hebei Province, China
Dong Wei, Department of Urology, Hebei Provincial General Hospital, Shijiazhuang 050051, Hebei Province, China
Yun-Feng Bao, Department of Medical Imaging, Hebei General Hospital, Shijiazhuang 050051, Hebei Province, China
Hang Li, Department of Nephrology, Peking Union Medical College Hospital, Beijing 100045, China
Tao Wang, Department of Nephrology, The First Hospital of Hebei Medical University, Shijiazhuang 050000, Hebei Province, China
Author contributions: Lin QZ reviewed the literature and contributed to manuscript drafting; Wang HE and Wei D are a thoracic surgeon and urologist, respectively, and both gave critical advice in the management of the patient and preparation of the revision; Bao YF prepared the medical imaging; Li H and Wang T revised the manuscript for important intellectual content; Wang T was the patient’s nephrologist and conceived the study; All authors issued final approval for the version to be submitted.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Tao Wang, MD, PhD, Chief Physician, Professor, Department of Nephrology, The First Hospital of Hebei Medical University, No. 89 East Donggang Road, Shijiazhuang 050000, Hebei Province, China. yanzhang@hbmu.edu
Received: June 26, 2020 Peer-review started: June 26, 2020 First decision: September 24, 2020 Revised: October 1, 2020 Accepted: November 4, 2020 Article in press: November 4, 2020 Published online: December 26, 2020 Processing time: 173 Days and 4.5 Hours
Core Tip
Core Tip: It is known that obstructive uropathy or occlusion of the lymphatic ducts may lead to extravasated fluids (urine or lymph) crossing the diaphragm via innate perforations or lymphatic channels. Therein, this clinical phenomenon is addressed as the “urothorax”. Among the diverse etiologies, renal lymphangiectasia is a congenital or acquired abnormality of the lymphatic system of the kidneys. Under this instance, pleural effusion of lymphoid origin may develop when the renal parenchyma is tightly compressed by a perirenal hematoma. Arguably, tight compression of the renal parenchyma may keep the draining lymphatic vessels shut but not prevent the inflow from the capsular lymph plexus. Thus, our report has for the first time described this extremely rare scenario and raises clinical awareness of the underlying passage, through which upward spread of perirenal infection could result in lung abscess.
