Abstract
A 64-year-old man undergoing chronic hemodialysis was admitted under a shock state with macrohematuria and fatigue lasting for two hours. A blood analysis revealed severe anemia. Computed tomography disclosed a large right-sided perirenal hematoma. The patient was successfully treated with radical nephrectomy, leading to a histological diagnosis of spontaneous rupture of renal cell carcinoma (RCC). One year after rupture of the right RCC, he again developed macrohematuria and computed tomography revealed a left-sided perirenal hematoma. Radical nephrectomy followed by a histological examination revealed spontaneous rupture of the left-sided RCC. This case emphasizes the importance of conducting periodic imaging evaluations of chronic hemodialysis patients with renal cystic masses.
MeSH terms
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Anemia / etiology
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Anemia / therapy
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Aspirin / adverse effects
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Blood Transfusion
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Carcinoma, Renal Cell / complications
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Carcinoma, Renal Cell / pathology*
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Carcinoma, Renal Cell / surgery
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Glomerulonephritis / complications
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Hematuria / etiology
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Humans
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Kidney Failure, Chronic / etiology
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Kidney Failure, Chronic / therapy
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Kidney Neoplasms / complications
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Kidney Neoplasms / pathology*
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Kidney Neoplasms / surgery
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Male
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Middle Aged
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Neoplasms, Multiple Primary / complications
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Neoplasms, Multiple Primary / pathology*
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Neoplasms, Multiple Primary / surgery
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Nephrectomy
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Platelet Aggregation Inhibitors / adverse effects
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Polycystic Kidney Diseases / etiology
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Renal Dialysis
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Rupture, Spontaneous
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Shock, Hemorrhagic / chemically induced
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Shock, Hemorrhagic / etiology
Substances
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Platelet Aggregation Inhibitors
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Aspirin