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Case Reports
. 2013 Oct-Dec;17(4):668-71.
doi: 10.4293/108680813X13654754534918.

Ovarian lymphoma and hydronephrosis

Eugenio Volpi  1 , Luca Bernardini  2 , Moira Angeloni  2 , Paolo Gogna  3 , Donatella Intersimone  4 , Franco Fedeli  4
Affiliations
Case Reports

Ovarian lymphoma and hydronephrosis

Eugenio Volpi et al. JSLS. 2013 Oct-Dec.

Abstract

Introduction: Ovarian lymphoma is a rare entity, and hydronephrosis from lymphoma is even rarer. Most reports describe a laparoscopic approach to the disease, but we report a case of hydroureteronephrosis associated with ovarian lymphoma managed completely by miniinvasive techniques.

Case report: A 51-year-old woman was referred to us for back pain and renal colic and computed tomography scan findings of right hydroureteronephrosis and a mass in the right mesorectum and uterosacral ligament. After magnetic resonance imaging was performed, the patient underwent laparoscopic adnexectomy and ureterolysis after ureteroscopy and stenting. Histology results showed diffuse B-cell lymphoma of the ovary occluding the ureter without infiltration. The patient has undergone 6 cycles of chemotherapy.

Discussion: This is the first report to describe ovarian lymphoma and hydroureteronephrosis managed completely by laparoscopic surgery and endoscopy. Frequency in clinical practice, differential diagnosis, and endoscopic approach are discussed. The advantages of a multidisciplinary endoscopic team are underlined.

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Figures

Figure 1.
Figure 1.
Histology of the B-cell lymphoma infiltrating the ovary.
Figure 2.
Figure 2.
Magnetic Resonance Imaging: axial scan showing hydronephrosis.
Figure 3.
Figure 3.
Magnetic Resonance Imaging: transversal scan of the lesion in the vesico-vaginal septom.
Figure 4.
Figure 4.
Magnetic Resonance Imaging: diffusion weighted scan showing the same lesion of Figure 3.
See this image and copyright information in PMC

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