Heterochronic Spontaneous Rupture of Bilateral Renal Cell Carcinomas in a Hemodialysis Patient
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- Yamada Shunsuke
- Fukuoka Renal Clinic, Japan Division of Internal Medicine, Fukuoka Dental College, Japan
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- Yotsueda Hideki
- Division of Nephrology, Japanese Red Cross Fukuoka Hospital, Japan
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- Nagara Tadashi
- Division of Nephrology, Japanese Red Cross Fukuoka Hospital, Japan
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- Goto Ken
- Division of Urology, Japanese Red Cross Fukuoka Hospital, Japan
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- Nakashima Yutaka
- Division of Pathology, Japanese Red Cross Fukuoka Hospital, Japan
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- Hirakata Hideki
- Division of Nephrology, Japanese Red Cross Fukuoka Hospital, Japan
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- Fujimi Satoru
- Fukuoka Renal Clinic, Japan
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- Tsuruya Kazuhiko
- Department of Integrated Therapy for Chronic Kidney Disease, Graduate School of Medical Sciences, Kyushu University, Japan
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抄録
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.<br>
収録刊行物
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- Internal Medicine
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Internal Medicine 52 (6), 667-671, 2013
一般社団法人 日本内科学会