Refractory hypertension due to unilateral renal lymphangiectasia: An uncommon case with a surgical solution.

We describe a case of unilateral renal lymphangiectasia (RLM) in a 30-year-old male with severe, refractory hypertension (HTN) and end-organ effects despite five anti-hypertensives. After diagnostic testing, the patient ultimately underwent a successful right laparoscopic nephrectomy with significant improvement of HTN. We review the literature regarding the pathophysiology and management strategies of HTN in patients with renal lymphangiectasia.

Urology case reports. 2020 Apr 08*** epublish ***

Robert N Uzzo, Evan Bloom, Andrew Peters, Meena Parab, Selma Masic, Alexander Kutikov

Department of Surgery, Division of Urology, Fox Chase Cancer Center - Temple University Health System, USA., Division of Cardiology, Heart and Vascular Institute - Temple University Health System, USA., Department of Anatomic Pathology, Fox Chase Cancer Center - Temple University Health System, USA.