Perirenal lymphatics: anatomy, pathophysiology, and imaging spectrum of diseases.
Anatomy
Kidney
Lymphatic system
Magnetic resonance imaging
Journal
Abdominal radiology (New York)
ISSN: 2366-0058
Titre abrégé: Abdom Radiol (NY)
Pays: United States
ID NLM: 101674571
Informations de publication
Date de publication:
08 2023
08 2023
Historique:
medline:
12
7
2023
pubmed:
3
6
2023
entrez:
3
6
2023
Statut:
ppublish
Résumé
Despite being rarely discussed, perinephric lymphatics are involved in many pathological and benign processes. The lymphatic system in the kidneys has a harmonious dynamic with ureteral and venous outflow, which can result in pathology when this dynamic is disturbed. Although limited by the small size of lymphatics, multiple established and emerging imaging techniques are available to visualize perinephric lymphatics. Manifestations of perirenal pathology may be in the form of dilation of perirenal lymphatics, as with peripelvic cysts and lymphangiectasia. Lymphatic collections may also occur, either congenital or as a sequela of renal surgery or transplantation. The perirenal lymphatics are also intimately involved in lymphoproliferative disorders, such as lymphoma as well as the malignant spread of disease. Although these pathologic entities often have overlapping imaging features, some have distinguishing characteristics that can suggest the diagnosis when paired with the clinical history.
Identifiants
pubmed: 37269362
doi: 10.1007/s00261-023-03948-4
pii: 10.1007/s00261-023-03948-4
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
2615-2627Commentaires et corrections
Type : CommentIn
Informations de copyright
© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
Références
Ozdowski L. Physiology, lymphatic system. StatPearls [Internet). https://www.ncbi.nlm.nih.gov/books/NBK557833/ . Published May 9, 2021. Accessed January 9, 2022.
Russell, PS; Hong, J; et al. Renal Lymphatics: Anatomy, Physiology, and Clinical Implications. Frontiers in physiology, 2019, Vol.10, p.251-251
doi: 10.3389/fphys.2019.00251
pubmed: 30923503
pmcid: 6426795
Matsumoto, SM et al. Perirenal lymphatic systems: Evaluation using spectral presaturation with inversion recovery T2-weighted MR images with 3D volume isotropic turbo spin-echo acquisition at 3.0T. Journal of magnetic resonance imaging, 2016-10, Vol.44 (4), p.897-905
doi: 10.1002/jmri.25244
pubmed: 27008549
Ishikawa Y, Akasaka Y, Kiguchi H, et al. The human renal lymphatics under normal and pathological conditions. Histopathology. 2006;49(3):265-273.
doi: 10.1111/j.1365-2559.2006.02478.x
pubmed: 16918973
Shelton EL, Yang H-C, Zhong J, Salzman MM, Kon V. Renal lymphatic vessel dynamics. Am J Physiol Renal Physiol 319: F1027– F1036, 2020.
doi: 10.1152/ajprenal.00322.2020
pubmed: 33103446
pmcid: 7792696
L.L. Munn, T.P. Padera Imaging the lymphatic system Microvasc. Res., 96 (2014), pp. 55-63
doi: 10.1016/j.mvr.2014.06.006
pubmed: 24956510
Polomska AK, Proulx ST. Imaging technology of the lymphatic system. Adv Drug Deliv Rev. 2021 Mar;170:294-311.
doi: 10.1016/j.addr.2020.08.013
pubmed: 32891679
Regan F, Petronis J, Bohlman M, et al. Perirenal MR high signal: a new and sensitive indicator of acute ureteric obstruction. Clin Radiol 1997;52:445–450.
doi: 10.1016/S0009-9260(97)80006-2
pubmed: 9202588
Amis ES, Jr. Cysts of the renal sinus. In: Pollack HM, McClennan BL, eds. Clinical urography. 2nd ed. Philadelphia, Pa: Saunders, 2000; 1404-1412.
Rha SE, Byun JY, Jung SE et-al. The renal sinus: pathologic spectrum and multimodality imaging approach. Radiographics. 2004;24 Suppl 1 : S117-31.
doi: 10.1148/rg.24si045503
pubmed: 15486236
Gumeler, E; Onur, MR; et al. Computed tomography and magnetic resonance imaging of peripelvic and periureteric pathologies. Abdominal radiology (New York), 2017-12-28, Vol.43 (9), p.2400-2411
doi: 10.1007/s00261-017-1444-5
Cronan JJ, Amis ES, Yoder IC et-al. Peripelvic cysts: an impostor of sonographic hydronephrosis. J Ultrasound Med. 1982;1 (6): 229-36.
doi: 10.7863/jum.1982.1.6.229
pubmed: 7169644
Purysko, AS; Westphalen, AC; et al. Imaging Manifestations of Hematologic Diseases with Renal and Perinephric Involvement. Radiographics, 2016-07, Vol.36 (4), p.1038-1054
doi: 10.1148/rg.2016150213
pubmed: 27257766
D’Souza DL, Heinze SB, Dowling RJ. Unusual presentation of perirenal lung metastases. Australas Radiol. 2006 Jun;50(3):246-8.
doi: 10.1111/j.1440-1673.2006.01570.x
pubmed: 16732823
Bailey JE, Roubidoux MA, Dunnick NR. Secondary renal neoplasms. Abdom Imaging. 1998 May-Jun;23(3):266-74.
doi: 10.1007/s002619900337
pubmed: 9569294
Surabhi, VR; Menias, C; et al. Neoplastic and non-neoplastic proliferative disorders of the perirenal space: cross-sectional imaging findings. Radiographics, 2008-07, Vol.28 (4), p.1005-1017
doi: 10.1148/rg.284075157
pubmed: 18635626
Shirkhoda A. Computed tomography of perirenal metastases. J Comput Assist Tomogr. 1986 May-Jun;10(3):435-8. PMID: 3700746.
pubmed: 3700746
Chung, AD; Krishna, S; et al. Primary and secondary diseases of the perinephric space: an approach to imaging diagnosis with emphasis on MRI. Clinical radiology, 2021-01, Vol.76 (1), p.75.e13-75.e26
doi: 10.1016/j.crad.2020.06.022
Thornton, E; Mendiratta-Lala, M; et al. Patterns of fat stranding. American journal of roentgenology (1976), 2011-07, Vol.197 (1), p.W1-W14
doi: 10.2214/AJR.10.4375
Tae GJ, et al. Perirenal Lymphangiomatosis. World J Mens Health 2014 August 32(2): 116-119
doi: 10.5534/wjmh.2014.32.2.116
AA Kashgari, et al. Renal lymphangiomatosis, a rare differential diagnosis for autosomal recessive polycystic kidney disease in pediatric patients. Radiology Case Reports 12 (2017) 70-72
doi: 10.1016/j.radcr.2016.11.016
pubmed: 28228882
Chaabouni A. et al. International Cystic lymphangioma of the kidney: Diagnosis and management. Journal of Surgery Case Reports. Vol 3, 12. 2012. 587-589
Mitreski, G; Sutherland, T. Radiological diagnosis of perinephric pathology: pictorial essay 2015. Insights into imaging, 2017-01-03, Vol.8 (1), p.155-169
doi: 10.1007/s13244-016-0536-z
pubmed: 28050791
pmcid: 5265200
Bechtold, RE; Dyer, RB et al. The perirenal space: relationship of pathologic processes to normal retroperitoneal anatomy. Radiographics, 1996-07-01, Vol.16 (4), p.841-854
doi: 10.1148/radiographics.16.4.8835975
pubmed: 8835975
Sugi, MD; Joshi, G; et al. Imaging of Renal Transplant Complications throughout the Life of the Allograft: Comprehensive Multimodality Review. Radiographics, 2019-09, Vol.39 (5), p.1327-1355
doi: 10.1148/rg.2019190096
pubmed: 31498742
Lucewicz, Ania1; Wong, Germaine2,6; Lam, Vincent W.T.1,3; Hawthorne, Wayne J.1,3; Allen, Richard D.M.1,4; Craig, Jonathan C.2,5; Pleass, Henry C.C.1,3 Management of Primary Symptomatic Lymphocele After Kidney Transplantation: A Systematic Review, Transplantation: September 27, 2011 - Volume 92 - Issue 6 - p 663-673
doi: 10.1097/TP.0b013e31822a40ef
pubmed: 21849931
Richard HM. Perirenal transplant fluid collections. Semin Intervent Radiol. 2004;21(4):235-237.
doi: 10.1055/s-2004-861557
pubmed: 21331134
pmcid: 3036232
Akbar SA, Jafri SZ, Amendola MA, Madrazo BL, Salem R, Bis KG. Complications of renal transplantation. RadioGraphics 2005;25(5):1335–1356.
doi: 10.1148/rg.255045133
pubmed: 16160115
Bonekamp, D; Horton, KM; et al. Castleman disease: the great mimic. Radiographics, 2011-10, Vol.31 (6), p.1793-1807
doi: 10.1148/rg.316115502
pubmed: 21997995
Enomoto K, Nakamichi I, Hamada K, et al. Unicentric and multicentric Castleman’s disease. Br J Radiol 2007;80:e24–e26
doi: 10.1259/bjr/93847196
pubmed: 17267466