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Summary
A pregnant patient with gross hematuria delayed diagnosis of renal cell carcinoma until after delivery. This case highlights the critical need for thorough hematuria evaluation during pregnancy.
Area of Science:
- Obstetrics and Gynecology
- Urology
- Oncology
Background:
- Gross hematuria during pregnancy is uncommon.
- Diagnostic delays can occur if patients decline investigations.
- Malignancies can present during gestation.
Purpose of the Study:
- To report a case of renal cell carcinoma presenting as gross hematuria in late pregnancy.
- To emphasize the importance of investigating hematuria in pregnant patients.
- To review similar previously reported cases.
Main Methods:
- Case presentation of a gravid patient with gross hematuria.
- Postpartum diagnosis of a large abdominal mass as renal cell carcinoma.
- Review of existing literature on renal cell carcinoma in pregnancy.
Main Results:
- A gravid patient presented with gross hematuria in the third trimester.
- Diagnostic measures were declined by the patient during pregnancy.
- A large abdominal mass, diagnosed as renal cell carcinoma, was identified postpartum.
Conclusions:
- Renal cell carcinoma can manifest during pregnancy.
- Adequate diagnostic workup for hematuria in pregnancy is crucial.
- Timely diagnosis and management are essential for better outcomes.