Saudi Journal of Kidney Diseases and Transplantation

CASE REPORT
Year
: 2006  |  Volume : 17  |  Issue : 3  |  Page : 395--398

Acute Renal Failure due to Lymphomatous Infiltration: An Unusual Presentation


Kais Harzallah, Jannet Laadidi, Kais Chatti, Imed Hlel, Fethi Bougrine, Ammar Bouziani, Nejib Ben Abdallah, Bassam Louzir, Salah Othmani, Ezzedine Boussema 
 Military Hospital of Tunis, Tunis, Tunisia

Correspondence Address:
Kais Harzallah
Military Hospital of Tunis, 1008 Tunis
Tunisia

Renal lymphoma occurs most often as a part of a multi-systemic disseminated lymphoma or as a recurrence of the tumor. Renal involvement usually occurs late in the course of the disease and is clinically silent. Acute renal failure (ARF) from lymphomatous infiltration has been described but is quite rare. We report a 50-year-old Caucasian woman, who presented with features of ARF. Physical examination showed that her arterial blood pressure was 190/100 mm Hg with no lymphadenopathy or hepatosplenomegaly. Her urine output was about 100 ml/day, and urinanalysis revealed + proteinuria and microscopic hematuria. Biochemical findings revealed severely impaired renal function with a serum creatinine of 693 µmol/L. The patient«SQ»s lactate dehydrogenase was elevated at 632 U/L. An abdominal ultrasound showed bilateral, large non-obstructed kidneys and a hypoechoic mass arising in the right lobe of the liver. An ultrasound-guided percutaneous liver biopsy showed typical features of B-cell lymphoblastic lymphoma. The patient expired two days later, even before any specific treatment could be started.


How to cite this article:
Harzallah K, Laadidi J, Chatti K, Hlel I, Bougrine F, Bouziani A, Abdallah NB, Louzir B, Othmani S, Boussema E. Acute Renal Failure due to Lymphomatous Infiltration: An Unusual Presentation.Saudi J Kidney Dis Transpl 2006;17:395-398


How to cite this URL:
Harzallah K, Laadidi J, Chatti K, Hlel I, Bougrine F, Bouziani A, Abdallah NB, Louzir B, Othmani S, Boussema E. Acute Renal Failure due to Lymphomatous Infiltration: An Unusual Presentation. Saudi J Kidney Dis Transpl [serial online] 2006 [cited 2022 Jul 6 ];17:395-398
Available from: https://www.sjkdt.org/article.asp?issn=1319-2442;year=2006;volume=17;issue=3;spage=395;epage=398;aulast=Harzallah;type=0