Bilateral renal lymphangiectasia- an unusual case of page kidney

Abstract

Renal lymphangiectasia is a rare benign condition caused by failed renal lymphatic drainage. A 36-year-old female presented with bilateral flank pain, pedal oedema, and secondary hypertension due to Page kidney. Imaging revealed large bilateral perirenal fluid collections, and aspiration confirmed chylous fluid. Despite temporary relief, reaccumulation and worsening renal function necessitated bilateral cyst deroofing, allowing drainage into the peritoneum. Postoperatively, blood pressure and renal function normalized, with complete resolution on follow-up. This case highlights the importance of recognizing renal lymphangiectasia as a cause of secondary hypertension and renal impairment to ensure timely and effective management.