A case of acute obstructive pyelonephritis due to bleeding from a renal pelvis cancer rescued with laparoscopic nephrectomy

Q4 Medicine

IJU Case Reports Pub Date : 2025-05-02 DOI:10.1002/iju5.12816

Masato Yanagi, Ken Takahashi, Yuta Kikuchi, Takuya Takahashi, Hideaki Iwata, Hiro Izuta, Shuichi Osawa, Taiji Nishimura, Yukihiro Kondo

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Abstract

Introduction

We encountered a case of acute obstructive pyelonephritis caused by bleeding from a renal pelvis cancer that was successfully treated by laparoscopic nephrectomy.

Case presentation

An 88-year-old woman with fever of 40.2°C and right back pain associated with hematuria due to a right renal pelvic tumor. Computed tomography showed a blood clot filling the right renal pelvis and ureter. She was diagnosed with severe obstructive pyelonephritis due to undrainable blood clots. Nephrectomy was performed to control the infection. Although the perirenal area was easy bleeding, nephrectomy was completed and the patient's condition improved.

Conclusion

Renal pelvis carcinomas with hemorrhage requiring blood transfusion should be treated with radical nephroureterectomy as early as possible.

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腹腔镜肾切除术抢救肾盂癌出血致急性阻塞性肾盂肾炎1例

我们遇到一个急性梗阻性肾盂肾炎由肾盂癌出血引起的病例，经腹腔镜肾切除术成功治疗。一例88岁女性，因右肾盆腔肿瘤，发热40.2°C，右背部疼痛伴血尿。计算机断层扫描显示右肾盂和输尿管充盈血块。她被诊断为严重的梗阻性肾盂肾炎，原因是血凝块无法排出。行肾切除术以控制感染。虽然肾周区易出血，但完成了肾切除术，患者病情得到改善。结论肾盂癌出血需输血者应尽早行根治性肾输尿管切除术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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