RESUMO
The authors describe a rare complication of ureteral stenting is the case study of a patient admitted to the hospital for congestion in the outlet system of both kidneys due to external ureteral compression by tumorous mass in the retroperitoneum. Histology confirmed the B-lymphoma of the retroperitoneum as a cause of the patients problems. The ureteral stent was perforated in the course of inserting the stent into the ureter and the end of the splint was introduced into the inferior vena cava. The patient was asymptomatic, and this complication was detected as late as on day 12 on the follow-up CT scan. Stent extraction was without complications and without bleeding.
Assuntos
Contenções , Ureter , Veia Cava Inferior , Remoção de Dispositivo , Humanos , Linfoma de Células B , Neoplasias Retroperitoneais , Contenções/efeitos adversos , Stents , Veia Cava Inferior/lesõesRESUMO
BACKGROUND: Paraneoplastic neurological syndromes are rare conditions manifest as psychiatric/neurological symptoms. They are caused by autoimmunne cross-reaction leading to destruction of the central nervous system. CASE: We present the case of a 64-year-old patient hospitalized for 6 months at the Department of Psychiatry for persisting depression. During that time he progressed to delirium. A diagnosis of diffuse encephalopathy was made, but further examination revealed a small cell lung cancer with generalisation. A paraneoplastic syndrome was finally diagnosed after autoptic and histologic examination. CONCLUSION: Paraneoplastic neurological syndromes can be early signs of malignancy and may considerably precede oncologic diagnosis.
