Ureteral obstruction and hydronephrosis as a complication of lymphomatoid granulomatosis: a case report and literature review.
Lymphomatoid granulomatosis is an angioinvasive proliferation of atypical T lymphocytes, with frequent pulmonary, cutaneous and neurological manifestations. Urological complications are infrequent. We describe the case of a 40-year-old man who presented with typical intrathoracic findings of lymphomatoid granulomatosis. Following a chemotherapy-induced remission he had retroperitoneal recurrence with bilateral ureteral obstruction, hydronephrosis and renal insufficiency. Histological examination revealed, in addition to the characteristic lymphoid infiltrates of lymphomatoid granulomatosis, a sclerosing process similar to idiopathic retroperitoneal fibrosis.
Feddersen
R M
RM
Department of Pathology, University of New Mexico School of Medicine, albuquerque.
Smith
A Y
AY
D000328:Adult; D006801:Humans; D006869:Hydronephrosis / Q000000981:diagnostic imaging / Q000209:etiology*; D007668:Kidney / Q000000981:diagnostic imaging; D008171:Lung Diseases / Q000473:pathology; D008230:Lymphomatoid Granulomatosis / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D008297:Male; D011859:Radiography; D012187:Retroperitoneal Space / Q000000981:diagnostic imaging; D014463:Ultrasonography; D014517:Ureteral Obstruction / Q000209:etiology*