Spontaneous rupture of the ureter AS the primary symptom of malignant lymphoma

Takahiko Yoshii, Akio Horiguchi, Suguru Shirotake, Musashi Tobe, Masamichi Hayakawa, Makoto Sumitomo, Tomohiko Asano

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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 Bcell 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.

Original languageEnglish
Pages (from-to)639-643
Number of pages5
JournalActa Urologica Japonica
Volume56
Issue number11
Publication statusPublished - 30-11-2010
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Urology

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    Yoshii, T., Horiguchi, A., Shirotake, S., Tobe, M., Hayakawa, M., Sumitomo, M., & Asano, T. (2010). Spontaneous rupture of the ureter AS the primary symptom of malignant lymphoma. Acta Urologica Japonica, 56(11), 639-643.