Abnormal Abdomen with Renal Lymphoma: A Case Report

Abstract

Colic abdomen may present as a clinical manifestation of renal lymphoma. Primary renal lymphoma (PRL) is characterized by certain definitions as lymphoma affecting the kidneys with minimal nodal involvement, while other definitions encompass all forms of non-Hodgkin lymphoma (NHL) that originate in the renal area, even when disseminated disease is present, provided the renal component is clinically predominant. PRL can be diagnosed via ultrasound, contrast-enhanced CT, and biopsy. The primary treatment for renal lymphoma is chemotherapy, which is favored over surgery. Furthermore, diagnosing PRL is challenging due to clinical, biochemical, and radiological characteristics.  We report A 69-year-old female patient presented with abdominal pain, a tumor in her right abdomen, reduced weight, nausea, vomiting, weakness, and feelings of helplessness. Physicochemical examination revealed anemia and a hard lump in her upper right abdomen. Urinalysis revealed a urinary tract infection. A MST scan revealed right renal lymphoma, non-specific hepatomegaly, and cholelithiasis. The patient was diagnosed with PRL and was initiated on chemotherapy. She is currently under follow-up and is in good health two years post-event. A prompt kidney biopsy offers the most efficient method for confirming the diagnosis. Consequently, prompt recognition of the disease by the clinician enables early diagnosis and appropriate therapy.