| A case of acute renal failure caused by extrinsic compression of the left renal artery in lymphoma |
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Seol Jung Ak, Park Keun Moo, Huh Jung Eun, Lee Dong Ryeol, Kong Jin Min, Kim Ho Kyun, Jeon Mi Young |
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| 미만성대형 B세포림프종의 좌측 신동맥 압박에 의한 급성 신부전 1예 |
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악설정, 박근모, 허정은, 이동렬, 공진민, 김호균, 전미영 |
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| Abstract |
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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.
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| Key Words:
Acute renal failure; Diffuse large B cell lymphoma; Renal artery |
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