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CASE 446: KILT SYNDROME, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

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Man 35 yo,  hematuria repeated  many times with  many  dilated subcutaneous veins on the abdomen wall [photo].


US of  kidneys   showed  righ and left kidney looked like hydronephrosis. But cannot detected the cause ( US 1, US 2)   US 3  =  CDI of  renal artery;  US 4 = spectral Doppler of pyramid arteries; US 5 = varicosis in urinary bladder wall.






CT of kidney without CE ( CT 1)=   HU of pelvis kidney  = 8 UI
CT 2  with CE ,  CT 3: secretion phase; CT 4= small ureter on R and L sides.







 MRI 1, MRI 2= kidney non CE   showed pelvis kidneys dilated and fluid collection around  2 kidneys.



Ultrasound of the leg = dilated chronic  deep vein thrombosis.

Conclusion= absence of IVC  suprarenal with DVT of  the legs, itis  K I L T syndrome.



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