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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Autores principales: Ferrari, Donatella, Pugliese, Silvia, Marsico, Salvatore, Lamacchia, Feliciana, Di Tosto, Federica, Amico, Andrea, Beninati, Emanuela, Cimini, Andrea, Floris, Roberto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Genitourinary
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6620362/
https://www.ncbi.nlm.nih.gov/pubmed/31333807
http://dx.doi.org/10.1016/j.radcr.2019.06.002
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author Ferrari, Donatella
Pugliese, Silvia
Marsico, Salvatore
Lamacchia, Feliciana
Di Tosto, Federica
Amico, Andrea
Beninati, Emanuela
Cimini, Andrea
Floris, Roberto
author_facet Ferrari, Donatella
Pugliese, Silvia
Marsico, Salvatore
Lamacchia, Feliciana
Di Tosto, Federica
Amico, Andrea
Beninati, Emanuela
Cimini, Andrea
Floris, Roberto
author_sort Ferrari, Donatella
collection PubMed
description 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.
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spelling pubmed-66203622019-07-22 Recurrent MALT lymphoma presenting as renal calyceal-pelvic rupture. What is the cause of this break? Ferrari, Donatella Pugliese, Silvia Marsico, Salvatore Lamacchia, Feliciana Di Tosto, Federica Amico, Andrea Beninati, Emanuela Cimini, Andrea Floris, Roberto Radiol Case Rep Genitourinary 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. Elsevier 2019-06-26 /pmc/articles/PMC6620362/ /pubmed/31333807 http://dx.doi.org/10.1016/j.radcr.2019.06.002 Text en © 2019 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Genitourinary
Ferrari, Donatella
Pugliese, Silvia
Marsico, Salvatore
Lamacchia, Feliciana
Di Tosto, Federica
Amico, Andrea
Beninati, Emanuela
Cimini, Andrea
Floris, Roberto
Recurrent MALT lymphoma presenting as renal calyceal-pelvic rupture. What is the cause of this break?
title Recurrent MALT lymphoma presenting as renal calyceal-pelvic rupture. What is the cause of this break?
title_full Recurrent MALT lymphoma presenting as renal calyceal-pelvic rupture. What is the cause of this break?
title_fullStr Recurrent MALT lymphoma presenting as renal calyceal-pelvic rupture. What is the cause of this break?
title_full_unstemmed Recurrent MALT lymphoma presenting as renal calyceal-pelvic rupture. What is the cause of this break?
title_short Recurrent MALT lymphoma presenting as renal calyceal-pelvic rupture. What is the cause of this break?
title_sort recurrent malt lymphoma presenting as renal calyceal-pelvic rupture. what is the cause of this break?
topic Genitourinary
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6620362/
https://www.ncbi.nlm.nih.gov/pubmed/31333807
http://dx.doi.org/10.1016/j.radcr.2019.06.002
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