表现为肾盏肾盂破裂的复发性黏膜相关淋巴组织淋巴瘤。这种破裂的原因是什么？

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

作者信息

Ferrari Donatella, Pugliese Silvia, Marsico Salvatore, Lamacchia Feliciana, Di Tosto Federica, Amico Andrea, Beninati Emanuela, Cimini Andrea, Floris Roberto

机构信息

Department of Biomedicine and Prevention, UOC of Diagnostic Imaging, University of Rome "Tor Vergata", Viale Oxford 81, 00133, Rome, Italy.

出版信息

Radiol Case Rep. 2019 Jun 26;14(8):1056-1061. doi: 10.1016/j.radcr.2019.06.002. eCollection 2019 Aug.

DOI:10.1016/j.radcr.2019.06.002

PMID:31333807

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6620362/

Abstract

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 [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.

摘要

泌尿系统破裂是一种罕见的病症，通常伴有急腹症症状，继发于尿液渗漏引起的腹膜刺激。我们报告一例49岁男性患者，因3天前开始出现的下腹部深部疼痛加重而入住我院急诊科。腹部计算机断层扫描显示尿液外渗，提示尿瘤形成。由于患者有淋巴瘤病史，尽管目前处于明显的缓解状态，但为排除复发，他接受了[F]-FDG正电子发射断层扫描-计算机断层扫描和磁共振检查。影像学检查支持淋巴系统复发的诊断假设，即复发的淋巴瘤从“外部”严重压迫尿路，导致尿路破裂。根据我们的经验，我们认为非创伤性肾盂-肾盏破裂是淋巴瘤发病的一种极其罕见的表现形式。