Renal Lymphangiectasia as an Unusual Cause of Perirenal Collections: A Case Report and Literature Review

Review Data

Q: Is the topic relevant to the journal area of interest? Is it contemporary and interesting for

researchers?

A: Good

Abstract & Keywords

Q: Are all required components included in the abstract? Are the keywords appropriately chosen?

A: Very Good

Goal

Q: Is the goal explicitly stated in the Introduction? Is its formulation clear and unambiguous?

A: Good

Structure

Q: Is the paper's structure coherent? Is it in coherence with the goal of the paper?

A: Very Good

Tools and Methods

Q: Are methods the author uses adequate and well used?

A: Good

Discussion & Conclusion

Q: Is it related to the results presented before? Do you consider them as coherent?

A: Good

Comments: The Discussion establishes that renal lymphangiectasia (RLM) is an uncommon cause of perirenal and parapelvic collections which can present unilaterally or bilaterally and has no age or gender predilection. It states that the condition is usually asymptomatic and is incidentally diagnosed on radiological imaging. The Discussion illustrates the common differentials. It highlights the fact that these conditions may be difficult to differentiate from RLM using a single imaging modality. Relevant literature has been cited to support the Discussion. The study concludes that an awareness of this condition will help in differentiating it from other renal cystic diseases and other causes of perirenal collections.

Literature

Q: Does the author utilize relevant literature?

A: Good

Author's knowledge

Q: What is the level of the author’s knowledge? Does the author utilize all recent contributions relevant to the topic?

A: Good

Length

Q: Is the length of the paper adequate to the significance of the topic? Do you suggest shortening the paper without losing its value?

A: Good

Figures & Tables

Q: Does the author use them suitably? Are legend and notations clear?

A: Good

Writing style

Q: Is it clear and understandable?

A: Good

Comments: Except the following error has been detected:

1.     In the 2^nd sentence under Conclusion the word “perinephric” has been misspelled.

Further comments on the paper

Comments: The case report presents the unusual case of bilateral renal lymphangiectasia (RLM) in a 20-year-old male with bilateral flank pain over 1 month. The study illustrates the clinical presentation, radiological findings, differentials and management of RLM using a case report and a review of the literature. The patient was managed conservatively with surveillance imaging since he was asymptomatic. The study also illustrates the various symptoms associated with RLM when the case is symptomatic. It highlights the fact that the lack of sufficient data in literature makes a comparison in functional outcomes by different surgical techniques difficult. The study recommends surveillance scans and follow-up in all patients due to the risk of complications such as renal failure and hypertension, which might only present at a later stage.

Q: Would you recommend this manuscript for further publication?

A: Yes - Suitable to be published

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Science Repository Team