Recurrent MALT lymphoma presenting as renal calyceal-pelvic rupture. What is the cause of this break?

Recurrent MALT lymphoma presenting as renal calyceal-pelvic rupture. What is the cause of this break?

Urinary collecting system rupture is an uncommon condition that usually occurs with symptoms of acute abdomen, secondary to peritoneal irritation by urine leaking. We report a case of a 49-year-old man admitted to our emergency department because of a worsening deep lower abdominal pain started 3 da...

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Bibliographic Details
Main Authors: Donatella Ferrari, MD, Silvia Pugliese, MD, Salvatore Marsico, MD, Feliciana Lamacchia, MD, Federica Di Tosto, MD, Andrea Amico, MD, Emanuela Beninati, MD, Andrea Cimini, MD, Roberto Floris, PhD
Format: Article
Language:English
Published: Elsevier 2019-08-01
Series:Radiology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043319301451
Description
Summary:Urinary collecting system rupture is an uncommon condition that usually occurs with symptoms of acute abdomen, secondary to peritoneal irritation by urine leaking. We report a case of a 49-year-old man admitted to our emergency department because of a worsening deep lower abdominal pain started 3 days before.The abdominal computed tomography revealed urine extravasation suggesting for urinoma. Because of patient pathological history of lymphoma, despite its apparent state of remission, he underwent a positron emission tomography - computed tomography with 18[F]-FDG and magnetic resonance in order to rule out a recurrence.Imaging supported the diagnostic hypothesis of a lymphatic recurrence that had compressed “ab-extrinseco” the urinary tract so much to break it. Based on our experience we can suggest that nontraumatic calyceal-pelvic rupture is an extremely rare manifestation of an onset of lymphoma. Keywords: Spontaneous, Renal, Calyceal-pelvic, Rupture, Lymphoma, Recurrence
ISSN:1930-0433

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