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Renal replacement lipomatosis (RRL) is an uncommon complication, leading to the fatty replacement of the renal parenchyma. Various etiologies have been described for this long-term infirmity, but obstructive uropathy is one paramount cause. Previously described reports have documented unilateral disease in the majority, but we are narrating a case of bilateral RRL, which is very scarce in the literature. A 57-year-old man, who was a known case of obstructive uropathy, presented to us with the symptoms of urinary tract infection. In imaging evaluation, the patient was found to have bilateral RRL.

Bilateral Renal Replacement Lipomatosis: A Case Report on Rare Complication of Obstructive Uropathy