Abstract

Case PresentationA 55 year-old female presented to the emergency department with left sided abdominal pain and hematuria. Computed tomography scan of her abdomen and pelvis demonstrated a large left renal mass with extension into the left ureter, left renal vein, and inferior vena cava. She was admitted and treated for presumed renal cell carcinoma (RCC).DiscussionRCC may present with abdominal or flank pain and hematuria, but more commonly presents with vague symptoms. RCC should be suspected in a patient presenting with hematuria and abdominal or flank pain, especially if vague symptoms such as fatigue or anorexia are also present.

Highlights

  • Case Presentation: A 55 year-old female presented to the emergency department with left sided abdominal pain and hematuria

  • renal cell carcinoma (RCC) should be suspected in a patient presenting with hematuria and abdominal or flank pain, especially if vague symptoms such as fatigue or anorexia are present. [Clin Pract Cases Emerg Med. 2020;4(2):232–233.]

  • CASE PRESENTATION A 55 year-old female with a history of lymphoma, paroxysmal nocturnal hematuria, and undifferentiated renal masses presented to the Emergency Department with left sided abdominal and flank pain, fatigue, and hematuria

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Summary

Images in Emergency Medicine

San Antonio Military Medical Center, Department of Emergency Medicine, Fort Sam Houston, Texas. Case Presentation: A 55 year-old female presented to the emergency department with left sided abdominal pain and hematuria. Computed tomography scan of her abdomen and pelvis demonstrated a large left renal mass with extension into the left ureter, left renal vein, and inferior vena cava. She was admitted and treated for presumed renal cell carcinoma (RCC)

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