A case of acute renal failure caused by extrinsic compression of the left renal artery in lymphoma.
- Author:
Seol Jung AK
1
;
Keun Moo PARK
;
Jung Eun HUH
;
Dong Ryeol LEE
;
Jin Min KONG
;
Ho Kyun KIM
;
Mi Young JEON
Author Information
1. Department of Intermal Medicine, Maryknoll Medical Center, Busan, Korea. clavicle22@hanmail.net
- Publication Type:Case Report
- Keywords:
Acute renal failure;
Diffuse large B cell lymphoma;
Renal artery
- MeSH:
Acute Kidney Injury;
Drug Therapy, Combination;
Humans;
Kidney;
Low Back Pain;
Lymph Nodes;
Lymphoma;
Lymphoma, B-Cell;
Middle Aged;
Perfusion;
Renal Artery;
Weight Loss
- From:Korean Journal of Medicine
2009;76(6):758-763
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Malignant lymphomas can involve any organ, but rarely cause acute renal failure as an initial manifestation. Impaired renal function secondary to renal arterial compression by a tumor mass has not been reported. A 50-year-old man was admitted with low back pain, weight loss, and a palpable abdominal mass. He developed non-oliguric acute renal failure secondary to extrinsic compression of the left renal artery by enlarged lymph nodes in the posterior wall of the pelvic cavity. Abdominal computed tomography (CT) showed the complete absence of perfusion of the left kidney due to extrinsic compression of the left renal artery by a huge diffuse large B cell lymphoma (stage IVa, International Prognostic Index score 3). We report a case of malignant lymphoma presenting as acute renal failure due to extrinsic compression of the left renal artery; this was treated successfully with systemic combination chemotherapy
