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Amyloidosis and acute hemorrhage of the kidney, ureter, and bladder

Dany N Hanna1, Jason A Levy, Jonah S Marshall

  • 1Department of Urology, Hahnemann University Hospital/Drexel University College of Medicine, Philadelphia, Pennsylvania, USA.

The Canadian Journal of Urology
|August 24, 2017
PubMed

Gross hematuria is a common occurrence in adults. The differential diagnosis is extensive, including: malignancy, trauma, inflammation of the urinary tract, and stones. While, urinary tract amyloidosis represents only a small percentage of causative gross hematuria, it is concerning because of its superficial resemblance to malignant processes. We report the case of an 82-year-old male with concurrent primary amyloidosis of the kidney, ureter and bladder in the setting of acute hemorrhage. Histopathological examination of several biopsied samples confirmed our diagnosis. A nephroureterectomy with bladder cuff was successfully performed without complication along with watchful waiting for the bladder amyloidosis.

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