Spontaneously ruptured renal cell carcinoma (RCC) in end-stage kidney disease is very rare.
Preoperative diagnosis is difficult because of the relatively small tumor size, associated hematoma, and surrounding acquired cysts. Two middle-aged men who were maintained on hemodialysis (HD) for over 10 years suddenly developed flank pain during HD. Computed tomography scans revealed an enhancing ruptured renal mass in one patient, and no obvious tumor lesion except for a hematoma in the other, both of which were later confirmed as RCCs by pathologic specimens.
Written by:
Kim WB, Lee ES, Doo SW, Yang WJ, Song YS, Noh H. Are you the author?
Department of Urology, Soonchunhyang University College of Medicine, Seoul, Korea.
Reference: Korean J Urol. 2011 Dec;52(12):865-7.
doi: 10.4111/kju.2011.52.12.865
PubMed Abstract
PMID: 22216401
