Case Report: Can Fibrinolytics Effectively Manage Gross Hematuria and Clot Retention in an Elderly Patients, Leading to the Diagnosis of Lymphoma?

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Case Report: Can Fibrinolytics Effectively Manage Gross Hematuria and Clot Retention in an Elderly Patients, Leading to the Diagnosis of Lymphoma? Publisher

Bighamian M ; Jamadi MS ; Dorostkar A ; Rajaee Rizi F

Source: Urology Case Reports Published:2025

Abstract

A 77-year-old man presented with severe gross hematuria and extensive urinary tract clot retention unresponsive to catheterization and irrigation. CT showed clots throughout the upper and lower tracts; labs revealed pancytopenia and elevated creatinine. Bilateral nephrostomies with multiple Alteplase instillations dissolved clots, restored urinary flow, and normalized renal function. Bone marrow biopsy confirmed B-cell lymphoma. This case highlights fibrinolytic therapy as a minimally invasive option for clot retention and the importance of multidisciplinary evaluation in uncovering malignancies presenting with complex urologic emergencies. © 2025 Elsevier B.V., All rights reserved.

Style	Citing Format
MLA	Bighamian M, et al.. "Case Report: Can Fibrinolytics Effectively Manage Gross Hematuria and Clot Retention in an Elderly Patients, Leading to the Diagnosis of Lymphoma?." Urology Case Reports, vol. 63, no. , 2025, pp. -.
APA	Bighamian M, Jamadi MS, Dorostkar A, Rajaee Rizi F (2025). Case Report: Can Fibrinolytics Effectively Manage Gross Hematuria and Clot Retention in an Elderly Patients, Leading to the Diagnosis of Lymphoma?. Urology Case Reports, 63(), -.
Chicago	Bighamian M, Jamadi MS, Dorostkar A, Rajaee Rizi F. "Case Report: Can Fibrinolytics Effectively Manage Gross Hematuria and Clot Retention in an Elderly Patients, Leading to the Diagnosis of Lymphoma?." Urology Case Reports 63, no. (2025): -.
Harvard	Bighamian M et al. (2025) 'Case Report: Can Fibrinolytics Effectively Manage Gross Hematuria and Clot Retention in an Elderly Patients, Leading to the Diagnosis of Lymphoma?', Urology Case Reports, 63(), pp. -.
Vancouver	Bighamian M, Jamadi MS, Dorostkar A, Rajaee Rizi F. Case Report: Can Fibrinolytics Effectively Manage Gross Hematuria and Clot Retention in an Elderly Patients, Leading to the Diagnosis of Lymphoma?. Urology Case Reports. 2025;63():-.
BibTex	@article{ author = {Bighamian M and Jamadi MS and Dorostkar A and Rajaee Rizi F}, title = {Case Report: Can Fibrinolytics Effectively Manage Gross Hematuria and Clot Retention in an Elderly Patients, Leading to the Diagnosis of Lymphoma?}, journal = {Urology Case Reports}, volume = {63}, number = {}, pages = {-}, year = {2025} }
RIS	TY - JOUR AU - Bighamian M AU - Jamadi MS AU - Dorostkar A AU - Rajaee Rizi F TI - Case Report: Can Fibrinolytics Effectively Manage Gross Hematuria and Clot Retention in an Elderly Patients, Leading to the Diagnosis of Lymphoma? JO - Urology Case Reports VL - 63 IS - SP - EP - PY - 2025 ER -

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