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 |
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Pages (from-to) | 667-671 |
Number of pages | 5 |
Journal | Internal Medicine |
Volume | 52 |
Issue number | 6 |
DOIs | |
Publication status | Published - 2013 |
All Science Journal Classification (ASJC) codes
- Internal Medicine