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

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

Radiology Case Reports (Aug 2019)

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

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

Affiliations

Donatella Ferrari, MD: Corresponding author.; Department of Biomedicine and Prevention, UOC of Diagnostic Imaging, University of Rome “Tor Vergata”, Viale Oxford 81, 00133, Rome, Italy
Silvia Pugliese, MD: Department of Biomedicine and Prevention, UOC of Diagnostic Imaging, University of Rome “Tor Vergata”, Viale Oxford 81, 00133, Rome, Italy
Salvatore Marsico, MD: Department of Biomedicine and Prevention, UOC of Diagnostic Imaging, University of Rome “Tor Vergata”, Viale Oxford 81, 00133, Rome, Italy
Feliciana Lamacchia, MD: Department of Biomedicine and Prevention, UOC of Diagnostic Imaging, University of Rome “Tor Vergata”, Viale Oxford 81, 00133, Rome, Italy
Federica Di Tosto, MD: Department of Biomedicine and Prevention, UOC of Diagnostic Imaging, University of Rome “Tor Vergata”, Viale Oxford 81, 00133, Rome, Italy
Andrea Amico, MD: Department of Biomedicine and Prevention, UOC of Diagnostic Imaging, University of Rome “Tor Vergata”, Viale Oxford 81, 00133, Rome, Italy
Emanuela Beninati, MD: Department of Biomedicine and Prevention, UOC of Diagnostic Imaging, University of Rome “Tor Vergata”, Viale Oxford 81, 00133, Rome, Italy
Andrea Cimini, MD: Department of Biomedicine and Prevention, UOC of Diagnostic Imaging, University of Rome “Tor Vergata”, Viale Oxford 81, 00133, Rome, Italy
Roberto Floris, PhD: Department of Biomedicine and Prevention, UOC of Diagnostic Imaging, University of Rome “Tor Vergata”, Viale Oxford 81, 00133, Rome, Italy

Journal volume & issue: Vol. 14, no. 8
pp. 1056 – 1061

Abstract

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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

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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