Cystic renal lymphangiectasia is an unusual cause of cystic renal disease i
n childhood. We present a case of bilateral cystic renal lymphangiectasia i
n a 7-year-old boy who presented with asymptomatic renal insufficiency and
anemia with decreased erythropoietin production. The clinical features of t
his condition and the diagnostic approach are reviewed. Although rare, this
disorder should be considered in the differential diagnosis of cystic rena
l disease.