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Urinary Tract Calculi VI: Surgical Management

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Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...

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Thrombus Masquerading a Double J Ureteric Stent.

Ankit Misra¹, Manoj Kumar Das¹, Swarnendu Mandal¹

¹Department of Urology, AIIMS, Bhubaneswar, Odisha, India.

Indian Journal of Urology : IJU : Journal of the Urological Society of India

|November 11, 2021

Summary

This summary is machine-generated.

We present a rare case of renal cell carcinoma (RCC), a common kidney cancer, with an unusual tumor thrombus extending into the urinary bladder. This finding highlights the importance of histopathology for accurate diagnosis.

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Area of Science:

Oncology
Urology
Pathology

Background:

Renal cell carcinoma (RCC) is the most prevalent adult kidney malignancy.
Central renal tumors with poor contrast enhancement can mimic urothelial neoplasms.
Accurate diagnosis often relies on histopathological examination.

Observation:

A case of renal cell carcinoma (RCC) is presented.
The tumor exhibited an atypical vermiform thrombus.
This thrombus projected into the urinary bladder.

Findings:

The case demonstrates a rare presentation of renal cell carcinoma.
An unusual vermiform thrombus was identified within the renal vasculature and extended into the bladder.
This morphology can lead to diagnostic challenges, potentially being misidentified as urothelial carcinoma.

Implications:

This case underscores the diverse presentations of renal cell carcinoma.
Awareness of such atypical thrombus formation is crucial for accurate diagnosis and treatment planning.
Histopathological confirmation remains essential for definitive diagnosis of renal masses.