title: [Spontaneous rupture of renal cell carcinoma: a case report].
abstract: A 45-year-old man felt sudden pain in the left abdomen while taking a bath. Computed tomography (CT) showed a huge hematoma above the left kidney, which was diagnosed as spontaneous rupture of the kidney. Two months later, several low-density areas were observed in the liver on CT. Suspecting renal cell carcinoma (RCC) with multiple liver metastasis, we performed left radical nephrectomy and partial hepatectomy. A pathological study revealed a small RCC of 2 cm in diameter in the middle of the left kidney. In spontaneous renal rupture secondary to renal tumors, imaging studies such as CT or MRI sometimes fail to demonstrate primary lesions.
authors.affiliation: Department of Urology, Hyogo College of Medicine.
authors.forename: Takahiko
authors.initials: T
authors.lastname: Hashimoto
authors.forename: Shingo
authors.initials: S
authors.lastname: Yamamoto
authors.forename: Yoshikazu
authors.initials: Y
authors.lastname: Togo
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Ueda
authors.forename: Yoshihide
authors.initials: Y
authors.lastname: Higuchi
authors.forename: Takuo
authors.initials: T
authors.lastname: Maruyama
authors.forename: Nobuyuki
authors.initials: N
authors.lastname: Kondoh
authors.forename: Michio
authors.initials: M
authors.lastname: Nojima
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Mori
authors.forename: Seiichi
authors.initials: S
authors.lastname: Hirota
authors.forename: Hiroki
authors.initials: H
authors.lastname: Shima
mesh_terms: D002292:Carcinoma, Renal Cell / Q000473:pathology*; D006801:Humans; D007674:Kidney Diseases / Q000000981:diagnostic imaging / Q000473:pathology*; D007680:Kidney Neoplasms / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed