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

doi:10.2169/internalmedicine.52.8703

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

Research output: Contribution to journal › Article

2 Citations (Scopus)

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 language	English
Pages (from-to)	667-671
Number of pages	5
Journal	Internal Medicine
Volume	52
Issue number	6
DOIs	https://doi.org/10.2169/internalmedicine.52.8703
Publication status	Published - 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

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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.",

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AU - Nakashima, Yutaka

AU - Hirakata, Hideki

AU - Fujimi, Satoru

AU - Tsuruya, Kazuhiko

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