|
|
|
| Late upper urinary tract urothelial carcinoma following radical cystectomy, presenting as page kidney |
Asmaa Ismail,Hazem Elmansy,Walid Shahrour,Owen Prowse,Ahmed Kotb( )
|
| Department of Urology, Northern Ontario School of Medicine, Thunder Bay, Ontario, Canada |
|
|
|
Abstract We are describing a rare case presenting with page phenomenon, 9 years post radical cystectomy for muscle invasive bladder cancer. Page kidney was developed secondary to a late recurrent urothelial tumour in the left renal pelvis.
Our case is a fifty-seven-year-old gentleman presented with poorly controlled hypertension and left dull aching loin pain. His blood pressure (BP) was 180/80 mmHg at diagnosis and was down to 150/80 mmHg using angiotensin converting enzyme (ACE) inhibitor and beta blocker medications. He underwent a radical cystectomy (RC) and ileal conduit urinary diversion 9 years ago. Pathology of his cystectomy specimen was localized urothelial carcinoma with negative resection margin and negative lymph nodes (T2N0M0). Examination showed a palpable mobile mass in the left hypochondrium. Computed tomography (CT) clearly showed an enhanced mass occupying the left renal pelvis, small left kidney with large subcapsular collection surrounding the kidney measuring 21 cm×11 cm×10 cm (Fig. 1). His kidney function was normal. The diagnosis of page kidney was done based on radiological findings. Renal vein renin was not tested.
|
|
Received: 17 August 2020
Available online: 20 October 2021
|
|
Corresponding Authors:
Ahmed Kotb
E-mail: drahmedfali@gmail.com
|
|
|
|
|
Computed tomography abdomen and pelvis with IV contrast (axial view) showing left kidney with renal pelvis tumour and large sub-capsular collection.
|
| [1] |
Gakis G, Black PC, Bochner BH, Boorjian SA, Stenzl A, Thalmann GN, et al. Systematic review on the fate of the remnant urothelium after radical cystectomy. Eur Urol 2017; 71:545e57.
|
| [2] |
Goyal NK, Goel A, Singh V, Sankhwar SN. Bladder cancer pre-senting with spontaneous subcapsular urinoma of kidney. In-dian J Cancer 2015; 52:473e4.
|
| [3] |
Maitra NU, Conn IG. A unique case of spontaneous bilateral renal subcapsular urinoma secondary to high pressure chronic retention of urine. Urol Case Rep 2017; 14:21e3.
|
| [4] |
Smyth A, Collins CS, Thorsteinsdottir B, Madsen BE, Oliveira GH, Kane G, et al. Page kidney: Etiology, renal function outcomes and risk for future hypertension. J Clin Hypertens (Greenwich) 2012; 14:216e21.
|
| No related articles found! |
|
|
|
|
