title: Right hypochondrium pain and giant mass.
abstract: OBJECTIVE
  To report a case of a right hypochondrium giant mass in a 40-year-old patient.
  
  
  METHODS
  We report the case of a 40 year-old male referred to our Department because of right hypochondrium pain and increased abdominal perimeter. Radiological examination showed a 30 × 24 × 20 cm retroperitoneal mass, dependent on the upper pole of the right kidney.
  
  
  RESULTS
  We performed radical nephrectomy through a mid line laparotomy. The pathological analysis described it as a clear cell renal carcinoma pT2bN0M0.
  
  
  CONCLUSIONS
  There are few reported cases of renal carcinomas with intraparenchymal bleeding exceeding 20 cm, the largest one exceeding 10 kg, and they usually show a good prognosis.
authors: Urology Department, University Hospital Doctor Peset, Valencia, Spain. teresapastornavarro@gmail.com
authors: Teresa
authors: T
authors: Pastor Navarro
authors: Luz Maria
authors: LM
authors: Moratalla Charcos
authors: Jose Manuel
authors: JM
authors: Osca Garcia
authors: Manuel
authors: M
authors: Gil Salom
mesh_terms: D015746:Abdominal Pain / Q000209:etiology*; D000328:Adult; D002292:Carcinoma, Renal Cell / Q000150:complications* / Q000473:pathology / Q000601:surgery; D006470:Hemorrhage / Q000150:complications / Q000601:surgery; D006801:Humans; D007668:Kidney / Q000473:pathology; D008297:Male; D009392:Nephrectomy; D012186:Retroperitoneal Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery; D014057:Tomography, X-Ray Computed