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

The Egyptian Journal of Radiology and Nuclear Medicine 2026 Open access

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Authors: Emma Solinas, D Turilli, Claudia Pinna, Lenadra Piscopo, Ilaria Conti, Liala Mirella Fattacciu, Enrico Deidda, Salvatore Antonio Masala, Mariano Scaglione
DOI: 10.1186/s43055-026-01707-1
Cited by: 1
References: 5

Abstract

Abstract 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.

Fields of Study & Subjects

Lymphatic Disorders and Treatments Foreign Body Medical Cases Head and Neck Anomalies

Publication details

Journal / source
The Egyptian Journal of Radiology and Nuclear Medicine
Publisher
Springer Science and Business Media LLC
Volume
57
Issue
1
Publication date
21 February 2026
Language
EN