Persistent retroperitoneal haematoma from undiagnosed renal cell carcinoma in a young trauma patient.
| Autor: | Barns ME; Department of Urology, Royal Perth Hospital, Perth, Western Australia, Australia mitch@barnscorp.com., Stewart B; Department of Urology, Royal Perth Hospital, Perth, Western Australia, Australia., Cernelc J; Anatomical Pathology, Royal Perth Hospital, Perth, Western Australia, Australia., Yuminaga Y; Department of Urology, Royal Perth Hospital, Perth, Western Australia, Australia. |
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| Jazyk: | angličtina |
| Zdroj: | BMJ case reports [BMJ Case Rep] 2022 Sep 15; Vol. 15 (9). Date of Electronic Publication: 2022 Sep 15. |
| DOI: | 10.1136/bcr-2021-248115 |
| Abstrakt: | A man in his 20s presents to the emergency department after a water skiing accident and was diagnosed with a grade 3 left renal laceration. He subsequently required cystoscopic insertion of a ureteric stent after failing a trial of conservative management. Over the next 9 months, he re-presented to the hospital twice with increasing flank pain and fevers. Subsequent imaging demonstrated interval progression of the retroperitoneal haematoma with a suspicious calcified lower pole lesion which was biopsied subsequently and revealed malignant tissue. External compression of the kidney by this large haematoma was also thought to be contributing to a state of Page kidney. The patient underwent definitive management with an open left-sided radical nephrectomy which confirmed type 2 papillary renal cell carcinoma. The patient is now normotensive and back to his baseline function. He will undergo surveillance CT imaging and be referred to familial genetic services. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Limited 2022. No commercial re-use. See rights and permissions. Published by BMJ.) |
| Databáze: | MEDLINE |
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