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 | |
| Publication status | Published - Mar 25 2013 |
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All Science Journal Classification (ASJC) codes
- Internal Medicine
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Heterochronic spontaneous rupture of bilateral renal cell carcinomas in a hemodialysis patient. / Yamada, Shunsuke; Yotsueda, Hideki; Nagara, Tadashi; Goto, Ken; Nakashima, Yutaka; Hirakata, Hideki; Fujimi, Satoru; Tsuruya, Kazuhiko.
In: Internal Medicine, Vol. 52, No. 6, 25.03.2013, p. 667-671.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Heterochronic spontaneous rupture of bilateral renal cell carcinomas in a hemodialysis patient
AU - Yamada, Shunsuke
AU - Yotsueda, Hideki
AU - Nagara, Tadashi
AU - Goto, Ken
AU - Nakashima, Yutaka
AU - Hirakata, Hideki
AU - Fujimi, Satoru
AU - Tsuruya, Kazuhiko
PY - 2013/3/25
Y1 - 2013/3/25
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=84875169368&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84875169368&partnerID=8YFLogxK
U2 - 10.2169/internalmedicine.52.8703
DO - 10.2169/internalmedicine.52.8703
M3 - Article
C2 - 23503408
AN - SCOPUS:84875169368
VL - 52
SP - 667
EP - 671
JO - Internal Medicine
JF - Internal Medicine
SN - 0918-2918
IS - 6
ER -