Content area
Full Text
Keywords: nephrotic syndrome, membranoproliferative glomerulonephritis, urologic surgical procedures
Urol J. 2010;7:61-2.
www.uj.unrc.ir
INTRODUCTION
Perirenal fluid accumulation (floating kidney) is an unusual presentation of nephrotic syndrome. In this condition, the renal parenchyma is compressed and kidney function is impaired. We present a 27-year-old woman with membranoproliferative glomerulonephritis (MPGN) and massive bilateral perirenal fluid accumulation.
CASE REPORT
A 27-year-old woman presented with abdominal pain and a huge mass in the right upper quadrant. The patient had a history of hypertension and proteinuria during pregnancy. At presentation, the patient was hypertensive, and abdominal examination revealed a huge mass in the right side with extension to the midline and pelvic cavity. The patient had a serum creatinine level of 1.3 mg/dL, serum protein level of 5.5 g/dL, and serum albumin level of 2.7 g/dL. Proteinuria of 4 g/d was noted on 24-hour urinalysis.
Abdominopelvic ultrasonography revealed extensive perirenal fluid collection, which was more intense on the right side. Increased cortical echogenisity and decreased corticomedullary differentiation was also noted on ultrasonography. Renal subcapsular accumulation of homogenous fluid was noted on abdominopelvic computed tomography, which was more prominent on the right...