Abstract

Renal replacement lipomatosis (RRL) is an extremely rare condition. It is thought to be a spectrum of degenerative process classically characterized by extensive abundance of adipose tissue in kidney. RRL is associated with long standing inflammation and stone disease in 70% of cases. In severe cases, it may lead to complete parenchymal destruction. Rarely, RRL may mimic fatty neoplasm of kidney. We report a 62-year-old male with renal replacement lipomatosis associated with stone disease presenting as hematuria.

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