TY  - EJOU
AU  - Snow, Zachary 
AU  - Jones, Lauren S. 
AU  - Piraino, Javier 
AU  - Sterling, Matthew 

TI  - Chronic lymphocytic leukemia/small  lymphocytic lymphoma presenting as acute  renal failure
T2  - Canadian Journal of Urology

PY  - 2022
VL  - 29
IS  - 1
SN  - 1488-5581

AB  - Lymphoma of the urinary bladder is quite rare, accounting for a small percentage of all bladder neoplasms.  Here we discuss the case of a 68-year-old male patient who initially presented with acute renal failure and severe bilateral hydronephrosis on ultrasound. Cross-sectional imaging further revealed a diffusely thickened bladder wall with extensive retroperitoneal and mesenteric lymphadenopathy. Bladder biopsies ultimately led to a diagnosis of stage IV chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL). This is a rare instance of upper tract dilatation being the first sign of a widely disseminated hematologic malignancy. 
KW  - bladder
KW  -  cancer
KW  -  hydronephrosis
KW  -  lymphoma

DO  -