Abdominal lymphoma

Case contributed by Dr Ahmed Abd Rabou

Presentation

Left loin pain. The patient underwent left ureteric stent placement.

Patient Data

Age: 62 years old
Gender: Male
Modality: X-ray

The following findings are present:

  • Paucity of air filled bowel within the pelvic cavity.
  • Cental blank area within the abdomen.
  • Enlarge left splenic shadow with medial displacement of the discending colon.
  • The left ureteric metallic stent is displaced medially.
Modality: CT

The spleen is markedly enlarged with a rounded hypodense focal lesion close to its anterior pole.

Multiple celiac, para arotic, aorto-caval, preaortic, bilateral common iliac, external and internal iliac lymph nodes are noted. The enlarge left internal iliac lymph node displaces the metallic ureteral stent medially. Also there is mild hydronephrosis.

Case Discussion

The internal iliac lymph nodes compressed the left ureter and caused hydronephrosis for which placement of ureteric stent was necessary. The centrally located para aortic, pre aortic and aorto-caval lymphadenopahties were responsible for the central abdominal blank area.

 

Diagnosis: Non Hodgkin lymphoma

 

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Case Information

rID: 23085
Case created: 21st May 2013
Last edited: 19th Nov 2015
Inclusion in quiz mode: Included

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