[Hematuria and sharp renal failure as debut of secondary bladder amiloidosis. Presentation of a new case and revision of the literature].
The primary bladder amiloidosis is an uncommon pathology, not existing in the world more than 150 published cases, being even more exceptional the secondary bladder amiloidosis being described around 25 cases. The secondary bladder amiloidosis associates in most from the patients to arthritis reumatoide of long evolution. The diagnoses clinical it is difficult, being necessary the differential diagnosis with the bladder tumour. The pathological study and inmunohistochemics, confirm the diagnosis. We present the case of a patient that I debut with frank hematuria, hemodynamic uncertainty and renal inadequacy that it required combined treatment, doctor and surgical for the resolution of their square.
Gómez García
I
I
Servicio de Urología, Hospital San Rafael, Madrid.
González Chamorro
F
F
Fernández Fernández
E
E
Palacio España
A
A
Molina Burgos
R
R
Alvarez
E
E
Conde Someso
S
S
D000368:Aged; D000686:Amyloidosis / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D001172:Arthritis, Rheumatoid / Q000150:complications; D003937:Diagnosis, Differential; D005260:Female; D006417:Hematuria / Q000209:etiology; D006801:Humans; D051437:Renal Insufficiency / Q000209:etiology; D001745:Urinary Bladder Diseases / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D001749:Urinary Bladder Neoplasms / Q000175:diagnosis