Subepithelial pelvic hematoma

Abstract

IntroductionSubepithelial pelvic hematoma (Antopol–Goldman lesion) is a rare condition that clinically simulates a renal or pelvic neoplasm, whose final diagnosis is established in most of the cases by the pathologist after the nephrectomy. To avoid this, imaging tests and high diagnostic suspicion are essential. Material and methodsThe case of a 43-year-old female patient is presented. She had no background of interest and she came due to experiencing an acute pain in the left renal fossa after a physical effort. This patient was studied by Ultrasonography, Computed Tomography (CT), and evolutively with magnetic resonance (MR). ResultsThe X-ray studies showed a lesion in the left renal sinus with characteristics suggestive of subepithelial renal pelvis hematoma, without data suggesting underlying lesion. The treatment of the patient was conservative, confirming the disappearance of the lesion in the follow-up studies. ConclusionKnowledge of the X-ray findings of the Antopol–Goldman lesion in different imaging tests and an elevated index of suspicion are crucial in the management of patients affected by this uncommon condition. These make it possible to avoid an unnecessary nephrectomy.