[Spontaneous rupture of the ureter as the primary symptom of malignant lymphoma]
Takahiko Yoshii1, Akio Horiguchi, Suguru Shirotake
1The Department of Urology, National Defense Medical College, Japan.
Abstract:
We report a rare case in which upper ureteral rupture was the primary symptom of malignant lymphoma. A 74-year-old female visited our hospital with left flank pain. Computed tomography showed urinoma around the left kidney and retrograde pyelography showed a diffuse filling defect in the left ureter and a rupture of the upper portion of that ureter. A urine cytology specimen from the left ureter was class V, suggesting undifferentiated carcinoma or malignant lymphoma. An open laparotomy revealed a nodule on the omentum and diffuse fibrosis around both ureters, and the histopathological diagnosis was diffuse large B-cell lymphoma. The patient' s ureteral stenosis disappeared after she received six cycles of R-CHOP (cyclophosphamide, doxorubicin, vincristine, prednisolone and rituximab) chemotherapy. We should be aware that malignant lymphoma can be the cause of a spontaneous ureteral rupture.
More Related Videos
Related Concept Videos
Acute Pyelonephritis I: Introduction
Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations
Disorders of the Male Reproductive System
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra. Symptoms...
Ureters
Urinary Tract Calculi V: Nursing Management
Acute Pyelonephritis II: Diagnostic Studies and Management

