DOI: 10.36347/sjmcr.2021.v09i02.005

Pages: 129-131

Castleman's disease or angiofollicular lymphoid hyperplasia is a rare condition of uncertain cause. It poses a diagnostic and therapeutic problem. We report the clinical case of a 58-year-old patient who presents LUTS associated with microscopic hematuria with an abdominopelvic CT scan in favor of a 20mm retroperitoneal tissue lesion at the lower pole of the right kidney which is enhanced by injection of PC posing a differential diagnosis problem with the other retroperitoneal masses. The biopsy under scanner was not performed given the difficult localization of the lesion, it was finally lumpectomy with pathological study that made it possible to make the diagnosis. The immediate and remote post-operative consequences were favorable. Through this clinical case and through a literature review, we analyze the epidemiological, diagnostic and therapeutic aspects of this rare pathology.