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Multiple Myeloma Presenting as Recurrent Obstructive Uropathy
Author(s) -
Waugh D. A.,
Ibels L. S.
Publication year - 1980
Publication title -
australian and new zealand journal of medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.596
H-Index - 70
eISSN - 1445-5994
pISSN - 0004-8291
DOI - 10.1111/j.1445-5994.1980.tb04976.x
Subject(s) - medicine , radiodensity , obstructive uropathy , intravenous pyelogram , multiple myeloma , bence jones protein , ascites , radiology , abdominal pain , surgery , radiography , kidney , urinary system , immunoglobulin light chain , antibody , immunology
Summary: A 51‐year‐old patient who presented with a four‐day history of abdominal pain was found to have unilateral ureteral obstruction and an intracalyceal radiolucent filling defect on radiological studies. Further investigation of this was refused by the patient but ten days later a repeat intravenous pyelogram showed persistence of the initial intracalyceal filling defect and ureteral obstruction in the contra‐lateral kidney along with multiple intracalyceal radiolucent filling defects. Subsequent investigation led to a diagnosis of kappa light chain myeloma. The diagnosis of multiple myeloma should be considered in patients presenting with unexplained radiolucent filling defects.