Osteogenic sarcoma metastatic to the kidney: spontaneous subcapsular hemorrhage with renal artery thrombosis.
The authors describe an occult metastatic deposit in the kidney of a 22-year-old woman; such lesions are not usually detected until autopsy. They postulate that after the development of acute subcapsular hematoma, a "renal compartmental syndrome" occurred, leading to renal artery thrombosis. Primary vascular involvement by the metastatic osteosarcoma, which was remote from the renal hilus, was not identified pathologically.
Department of Diagnostic Imaging, St. Michael's Hospital, Toronto, Ont.
T M
TM
Williams
G W
GW
Gardiner
A A
AA
Common
D000328:Adult; D001859:Bone Neoplasms / Q000473:pathology*; D005260:Female; D006470:Hemorrhage / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D007680:Kidney Neoplasms / Q000150:complications / Q000556:secondary*; D012516:Osteosarcoma / Q000150:complications / Q000556:secondary*; D012078:Renal Artery Obstruction / Q000175:diagnosis / Q000209:etiology*; D013927:Thrombosis / Q000175:diagnosis / Q000209:etiology*