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Published on: June 21, 2024
Ovarian lymphoma and hydronephrosis
Eugenio Volpi1, Luca Bernardini2, Moira Angeloni2
1Department of Obstetrics and Gynecology, Ospedale S. Andrea, LA Spezia, Via Vittorio Veneto, 197, 19124, La Spezia, Italy. eugenio.volpi@hotmail.com.
This case study presents a rare instance of ovarian lymphoma causing hydroureteronephrosis, successfully treated with minimally invasive laparoscopic surgery and endoscopy. The findings highlight the efficacy of these techniques for managing this uncommon condition.
Area of Science:
- Gynecologic Oncology
- Urologic Oncology
- Minimally Invasive Surgery
Background:
- Ovarian lymphoma is an exceptionally rare condition.
- Hydroureteronephrosis secondary to ovarian lymphoma is even rarer.
- Minimally invasive surgical approaches for ovarian lymphoma are not well-documented.
Observation:
- A 51-year-old woman presented with back pain and renal colic.
- Imaging revealed right hydroureteronephrosis and a pelvic mass.
- The mass was diagnosed as diffuse B-cell lymphoma of the ovary.
Findings:
- The ovarian lymphoma occluded the ureter, causing hydroureteronephrosis.
- The patient underwent successful laparoscopic adnexectomy and ureterolysis.
- Endoscopic procedures included ureteroscopy and stenting.
Implications:
- This is the first report detailing complete laparoscopic and endoscopic management of ovarian lymphoma with hydroureteronephrosis.
- The study emphasizes the advantages of a multidisciplinary endoscopic team.
- It underscores the importance of considering endoscopic approaches in managing rare gynecologic malignancies causing urinary obstruction.
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