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10.
Arch Esp Urol ; 66(8): 827, 2013 Oct.
Article in English, Spanish | MEDLINE | ID: mdl-24136489

ABSTRACT

50 year old male with history of renal colic presenting to the emergency room with left colic pain. On ultrasound horseshoe kidneys were visualized without hydronephrosis or stones. CT scan: horseshoe kidney with inferior isthmus, no signs of nephrolithiasis or urolithiasis. There are multiple associated vascular anomalies (there are at least five right renal arteries and two left, double venous return is seen in both hemi-kidneys).


Subject(s)
Kidney/abnormalities , Kidney/diagnostic imaging , Renal Artery/abnormalities , Renal Artery/diagnostic imaging , Tomography, X-Ray Computed , Humans , Male , Middle Aged
15.
Arch Esp Urol ; 65(2): 258-62, 2012 Mar.
Article in English, Spanish | MEDLINE | ID: mdl-22414456

ABSTRACT

OBJECTIVE: To describe the case of a patient with gross hematuria. The pathological study revealed a subepithelial hematoma of the renal pelvis (Antopol-Goldman lesion). METHODS/RESULTS: An 86 year-old woman presented with gross hematuria through the right ureteral orifice. A filling defect is visualized in the right renal pelvis on CT and right nephroureterectomy was carried out after the diagnosis of suspicious upper urinary tract tumor. The pathological study revealed the presence of a subepithelial hematoma without evidence of malignancy. CONCLUSION: Antopol-Goldman lesion is a benign condition that one must have in mind in the work up of patients with hematuria and filling defects in the urinary tract who present a predisposing factor for pyelic hematoma.


Subject(s)
Hematuria/diagnosis , Aged, 80 and over , Diagnosis, Differential , Female , Hematoma/etiology , Hematuria/pathology , Hematuria/surgery , Humans , Kidney Neoplasms/diagnosis , Kidney Pelvis/pathology , Kidney Pelvis/surgery , Laparoscopy , Nephrectomy , Tomography, X-Ray Computed , Ureter/pathology , Urologic Surgical Procedures
16.
Arch. esp. urol. (Ed. impr.) ; 65(2): 258-262, mar. 2012. ilus
Article in Spanish | IBECS | ID: ibc-97658

ABSTRACT

OBJETIVO: Describir el caso clínico de una paciente que presenta hematuria macroscópica y que el estudio anatomopatológico revela un hematoma subepitelial de la pelvis renal (lesión de Antopol-Goldman). MÉTODOS: Se describe el caso clínico de un paciente con hematuria macroscópica que tras nefrectomía radical es diagnosticado de hematoma subepitelial (lesión de Antopol-Goldman) y se realiza una revisión bibliográfica del diagnóstico y tratamiento de esta lesión. RESULTADOS: Paciente que tras presentar hematuria macroscópica a través de meato ureteral derecho con defecto de replección en pelvis renal derecha visualizado en TAC es diagnosticada de tumor de tracto urinario superior y tratada mediante nefroureterectomía derecha. El estudio anatomopatológico revela la presencia de un hematoma subepitelial sin evidencia de malignidad. CONCLUSIÓN: La lesión de Antopol-Goldman es una patología benigna que hay que tener presente en pacientes con hematuria y defectos de replección en la vía urinaria que presenten algún factor predisponente para la aparición de hematomas piélicos(AU)


OBJECTIVE: To describe the case of a patient with gross hematuria. The pathological study revealed a subepithelial hematoma of the renal pelvis (Antopol-Goldman lesion). METHODS/RESULTS: An 86 year-old woman presented with gross hematuria through the right ureteral orifice. A filling defect is visualized in the right renal pelvis on CT and right nephroureterectomy was carried out after the diagnosis of suspicious upper urinary tract tumor. The pathological study revealed the presence of a subepithelial hematoma without evidence of malignancy. CONCLUSION: Antopol-Goldman lesion is a benign condition that one must have in mind in the work up of patients with hematuria and filling defects in the urinary tract who present a predisposing factor for pyelic hematoma(AU)


Subject(s)
Humans , Female , Aged, 80 and over , Hematuria/diagnosis , Hematoma/complications , Nephrectomy , Diagnosis, Differential , Postoperative Complications
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