Spontaneous Renal Subcapsular Hemorrhage with Hydroureteronephrosis due to Transitional Cell Carcinoma at Ureterovesical Junction1

Sang-Hee Choi; Kyoung-Sik Cho

doi:10.3348/jkrs.1998.38.3.517

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Choi and Cho: Spontaneous Renal Subcapsular Hemorrhage with Hydroureteronephrosis due to Transitional Cell Carcinoma at Ureterovesical Junction1

Original Article

J Korean Radiol Soc 1998;38(3):517-518.

Published online: 18 December 1998

DOI: https://doi.org/10.3348/jkrs.1998.38.3.517

Spontaneous Renal Subcapsular Hemorrhage with Hydroureteronephrosis due to Transitional Cell Carcinoma at Ureterovesical Junction¹

Sang-Hee Choi, M.D.^2,, Kyoung-Sik Cho, M.D.

¹Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine

²Department of Radiology, Samsung Medical Center, University of Sung Kyun Kwan College of Medicine

Address reprint requests to : Sang-Hee Choi, M.D. Department of Radiology, Samsung Medical Center, University of Sung Kyun Kwan College of Medicine « 50 Irwon-Dong, Kangnam-Ku, Seoul, Korea. Tel. 82-2-3410-2518, 3863 Fax. 82-2-3410-2559

Received 24 June 1997 Accepted 5 January 1998

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We report a unique case of spontaneous renal subcapsular hemorrhage with seeded tumor nodules along the inner surface of the renal capsule, and associated the hydronephrosis due to ureteral obstruction caused by transitional carcinoma at retero vesical junction.

Keywords: Kidney, hemorrhage Kidney, CT Ureter, neoplasms

REFERENCES

1.Errol L.., Jared J. G., Margaret L. M.: Spontaneous subcapsular and perinephric hemorrhage in end-stage kidney disease: clinical and CT findings. AJR. 1987. 148:755.

2.John S. B., Abraham M., Kevin R. L., Sab ah S.T.: Spontaneous Perinephric and subcapsular renal hemorrhage: Evaluation with CT, US, and Angiography. Radiology. 1989. 172:733.

3.Kendall A. R., Bruce A. S., Milton E. C.: Spontaneous subcapsular renal hematoma: Diagnosis and management. J Urol. 1988. 139:246.

4.Leonard M.., Melvyn K.., Paul M. S., Dunnick N.R.: Perinephric hemorrhage from metastatic carcinoma to the kidney. J Comput Assist Tomogr. 1983. 7(4):727.

5.Williams T.M.., Gardiner G.W.Spontaneous hemorrhage from osteogenic sarcoma metastasis to kidney. Can Assoc Radiol J. 1995. 46-1:51.

6.Zagoria R.J.., Dyer R.B.., Assimos E.E.., Scharling E.S.., Quinn S. F.Spontaneous perinephric hemorrhage. Invest Radiol. 1993. 28-1:81–83.

Fig. 1.

(A, B) CT images show the nodular masses each at the mid and the distal ureter protruding into urinary bladder (arrows).

Fig. 2.

CT scan shows the hydroureteronephrosis proximal to the ureteric mass. The cortex was thinned(arrow heads), and there is intermediate density fluid in the subcapsular area(arrows). It was confirmed to hemorrhage containing minute tumor tissues.

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