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Abstract
Renal lipomatosis was diagnosed in a kidney transplant recipient who presented with acute kidney injury (AKI) several years after transplantation. The patient had an odd-looking kidney transplant on ultrasound and computed tomography (CT) scan, showing a medullary mass with resultant compression of the surrounding renal parenchyma. A biopsy of the renal medulla confirmed fatty infiltration of the renal parenchyma. The patient underwent percutaneous nephrostomy and AKI resolved with relief of the obstruction. Renal lipomatosis is a rare condition that should be differentiated from other neoplasms of the kidney. When it occurs in a functioning transplant kidney, the treatment approach proves to be very challenging.
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Details
1 Division of Nephrology and Hypertension, Medical University of South Carolina, Charleston, SC, USA
2 Department of Urology, Medical University of South Carolina, Charleston, SC, USA
3 Division of Transplant Surgery, Medical University of South Carolina, Charleston, SC, USA