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 journalArticle

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 languageEnglish
Pages (from-to)667-671
Number of pages5
JournalInternal Medicine
Volume52
Issue number6
DOIs
Publication statusPublished - Mar 25 2013

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Spontaneous Rupture
Renal Cell Carcinoma
Renal Dialysis
Nephrectomy
Hematoma
Tomography
Fatigue
Anemia
Rupture
Shock
Kidney

All Science Journal Classification (ASJC) codes

  • Internal Medicine

Cite this

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 journalArticle

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, vol. 52, no. 6, pp. 667-671. https://doi.org/10.2169/internalmedicine.52.8703
Yamada, Shunsuke ; Yotsueda, Hideki ; Nagara, Tadashi ; Goto, Ken ; Nakashima, Yutaka ; Hirakata, Hideki ; Fujimi, Satoru ; Tsuruya, Kazuhiko. / Heterochronic spontaneous rupture of bilateral renal cell carcinomas in a hemodialysis patient. In: Internal Medicine. 2013 ; Vol. 52, No. 6. pp. 667-671.
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