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Background <p>Uro-lymphatic fistula is a rare condition caused by a communication between the urinary and lymphatic systems, secondary to parasitic infection or urolithiasis. Contrast-enhanced computed tomography remains the only reliable modality for detecting such fistulas.</p> Case presentation <p>This manuscript is a case presentation of a stone-related urolymphatic fistula encountered during our clinical practice and diagnosed with computed tomography, showing the importance of urographic-phase images and prompt diagnosis.</p> Conclusions <p>The management of the majority of urolymphatic fistulas is conservative, and fistulas typically close spontaneously after treatment of the underlying condition. This case highlights the key role of computed tomography in the timely diagnosis and management.</p>

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The role of imaging in the diagnosis and management of uro-lymphatic fistulas

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年2月21日

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  • Emma Solinas,
  • Davide Turilli,
  • Claudia Pinna,
  • Lenadra Piscopo,
  • Ilaria Conti,
  • Liala Fattacciu,
  • Enrico Deidda,
  • Salvatore Masala,
  • Mariano Scaglione

摘要

Background

Uro-lymphatic fistula is a rare condition caused by a communication between the urinary and lymphatic systems, secondary to parasitic infection or urolithiasis. Contrast-enhanced computed tomography remains the only reliable modality for detecting such fistulas.

Case presentation

This manuscript is a case presentation of a stone-related urolymphatic fistula encountered during our clinical practice and diagnosed with computed tomography, showing the importance of urographic-phase images and prompt diagnosis.

Conclusions

The management of the majority of urolymphatic fistulas is conservative, and fistulas typically close spontaneously after treatment of the underlying condition. This case highlights the key role of computed tomography in the timely diagnosis and management.