J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 1132KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 96(2): 116-120, 1995

Case report

SPONTANEOUS SUBCAPSULAR HEMORRHAGE: A RARE CLINICAL PRESENTATION OF RENAL CELL CARCINOMA

1) Department of Surgery, National Tokyo Hospital, Tokyo, Japan
2) Department of Pathology, National Tokyo Hospital, Tokyo, Japan

Sumio Inoue1), Daisuke Semba1), Akira Hebisawa2), Toshihiko Moritsuka1), Kazuhiko Fukatsu1), Sugao Kamiya1), Toru Katayama1)

We present a case of renal subcapsular hemorrhage caused by a small renal cell carcinoma. The patient was a 52-year-old housewife, presenting abdominal pain and vomiting, of abrupt onset. Modern imaging modalities clearly visualized a perirenal or subcapsular hematoma in her left kidney, but no underlying pathology, was found even on the arteriogram. Relying on the statistics based on more than 100 reported cases with the spontaneous renal rupture, nephrectomy was carried out. The renal carcinoma was of granular cell type (G2), and classified as pT2, pN0 and pM0. Diflficulties in making a correct diagnosis as to the pathology and therefore a rational decision for nephrectomy were also stressed.

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