Heterochronic spontaneous rupture of bilateral renal cell carcinomas in a hemodialysis patient

Shunsuke Yamada, Hideki Yotsueda, Tadashi Nagara, Ken Goto, Yutaka Nakashima, Hideki Hirakata, Satoru Fujimi, Kazuhiko Tsuruya

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Abstract

A 64-year-old man undergoing chronic hemodialysis was admitted under a shock state with macrohematuria and fatigue lasting for two hours. A blood analysis revealed severe anemia. Computed tomography disclosed a large right-sided perirenal hematoma. The patient was successfully treated with radical nephrectomy, leading to a histological diagnosis of spontaneous rupture of renal cell carcinoma (RCC). One year after rupture of the right RCC, he again developed macrohematuria and computed tomography revealed a left-sided perirenal hematoma. Radical nephrectomy followed by a histological examination revealed spontaneous rupture of the left-sided RCC. This case emphasizes the importance of conducting periodic imaging evaluations of chronic hemodialysis patients with renal cystic masses.

Original languageEnglish
Pages (from-to)667-671
Number of pages5
JournalInternal Medicine
Volume52
Issue number6
DOIs
Publication statusPublished - 2013

All Science Journal Classification (ASJC) codes

  • Internal Medicine

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    Yamada, S., Yotsueda, H., Nagara, T., Goto, K., Nakashima, Y., Hirakata, H., Fujimi, S., & Tsuruya, K. (2013). Heterochronic spontaneous rupture of bilateral renal cell carcinomas in a hemodialysis patient. Internal Medicine, 52(6), 667-671. https://doi.org/10.2169/internalmedicine.52.8703