[Spontaneous rupture of renal cell carcinoma: a case report].
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.
Hashimoto
Takahiko
T
Department of Urology, Hyogo College of Medicine.
Yamamoto
Shingo
S
Togo
Yoshikazu
Y
Ueda
Yasuo
Y
Higuchi
Yoshihide
Y
Maruyama
Takuo
T
Kondoh
Nobuyuki
N
Nojima
Michio
M
Mori
Yoshinori
Y
Hirota
Seiichi
S
Shima
Hiroki
H
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