Abstract
A 37-year-old African American woman with sickle cell trait presented with 2 days history of right flank pain and macroscopic hematuria. She had a past history of non-Hodgkin lymphoma and splenectomy for splenic infarct. Physical examination showed right costovertebral angle tenderness. Laboratory evaluation was notable for a hemoglobin level of 12.7 g/dl, a creatinine level of 1.1 mg/dl, and red blood cells on urine microscopy. Contrast-enhanced computed tomography of the abdomen showed a filling defect involving the right collecting system, right ureter, and bladder. No stone or mass was identified. Urine culture and urine cytology were negative. Her symptoms resolved after 48 h of conservative treatment (intravenous fluid, bed rest and pain control). She underwent a cystoscopy with ureteroscopy which showed renal papillary necrosis and intraureter thrombus. Hemoglobin electrophoresis demonstrated 60% hemoglobin A and 40% hemoglobin S, consistent with sickle cell trait. A repeated computed tomography after 10 days showed complete resolution of the intraureter thrombus.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
