Cause of upper urinary-tract essential hematuria: Veno-caliceal fistula or contralateral coexistent upper-tract transitional-cell carcinoma? Case report.
Identifieur interne : 000631 ( PubMed/Corpus ); précédent : 000630; suivant : 000632Cause of upper urinary-tract essential hematuria: Veno-caliceal fistula or contralateral coexistent upper-tract transitional-cell carcinoma? Case report.
Auteurs : L. Defidio ; M. De Dominicis ; A. PatelSource :
- Journal of endourology / Endourological Society [ 0892-7790 ] ; 2006.
English descriptors
- KwdEn :
- Aged, Carcinoma, Transitional Cell (complications), Carcinoma, Transitional Cell (diagnosis), Carcinoma, Transitional Cell (surgery), Diagnosis, Differential, Female, Hematuria (diagnosis), Hematuria (etiology), Hematuria (surgery), Humans, Kidney Calices, Kidney Diseases (complications), Kidney Diseases (diagnosis), Kidney Diseases (surgery), Kidney Neoplasms (complications), Kidney Neoplasms (diagnosis), Kidney Neoplasms (surgery), Laser Coagulation, Nephrectomy, Renal Veins, Urinary Fistula (complications), Urinary Fistula (diagnosis), Urinary Fistula (surgery).
- MESH :
- complications : Carcinoma, Transitional Cell, Kidney Diseases, Kidney Neoplasms, Urinary Fistula.
- diagnosis : Carcinoma, Transitional Cell, Hematuria, Kidney Diseases, Kidney Neoplasms, Urinary Fistula.
- etiology : Hematuria.
- surgery : Carcinoma, Transitional Cell, Hematuria, Kidney Diseases, Kidney Neoplasms, Urinary Fistula.
- Aged, Diagnosis, Differential, Female, Humans, Kidney Calices, Laser Coagulation, Nephrectomy, Renal Veins.
Abstract
A 65-year-old woman was admitted with intermittent gross hematuria of 6 months' duration without other significant urinary-tract symptoms. At bilateral ureterorenoscopy under general anesthesia, a connection from an upper calix to the main left renal vein through a small venous channel was apparent, but there was no evidence of bleeding. In the right upper calix, a bleeding small papillary lesion was seen and ablated with low-power thulium laser coagulation. The histologic examination revealed a grade 3 stage pT1 TCC. Where no definite bleeding is seen from a veno-caliceal fistulous opening at ureterorenoscopy, it is imperative to inspect the entire contralateral upper urinary tract to exclude other causes of bleeding.
DOI: 10.1089/end.2006.20.913
PubMed: 17144862
Links to Exploration step
pubmed:17144862Le document en format XML
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<author><name sortKey="Defidio, L" sort="Defidio, L" uniqKey="Defidio L" first="L" last="Defidio">L. Defidio</name>
<affiliation><nlm:affiliation>Department of Urology, Hospital Cristo Re, Rome, Italy. defidio@tin.it</nlm:affiliation>
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<author><name sortKey="De Dominicis, M" sort="De Dominicis, M" uniqKey="De Dominicis M" first="M" last="De Dominicis">M. De Dominicis</name>
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<author><name sortKey="Patel, A" sort="Patel, A" uniqKey="Patel A" first="A" last="Patel">A. Patel</name>
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<author><name sortKey="Defidio, L" sort="Defidio, L" uniqKey="Defidio L" first="L" last="Defidio">L. Defidio</name>
<affiliation><nlm:affiliation>Department of Urology, Hospital Cristo Re, Rome, Italy. defidio@tin.it</nlm:affiliation>
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<author><name sortKey="De Dominicis, M" sort="De Dominicis, M" uniqKey="De Dominicis M" first="M" last="De Dominicis">M. De Dominicis</name>
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<author><name sortKey="Patel, A" sort="Patel, A" uniqKey="Patel A" first="A" last="Patel">A. Patel</name>
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<term>Carcinoma, Transitional Cell (complications)</term>
<term>Carcinoma, Transitional Cell (diagnosis)</term>
<term>Carcinoma, Transitional Cell (surgery)</term>
<term>Diagnosis, Differential</term>
<term>Female</term>
<term>Hematuria (diagnosis)</term>
<term>Hematuria (etiology)</term>
<term>Hematuria (surgery)</term>
<term>Humans</term>
<term>Kidney Calices</term>
<term>Kidney Diseases (complications)</term>
<term>Kidney Diseases (diagnosis)</term>
<term>Kidney Diseases (surgery)</term>
<term>Kidney Neoplasms (complications)</term>
<term>Kidney Neoplasms (diagnosis)</term>
<term>Kidney Neoplasms (surgery)</term>
<term>Laser Coagulation</term>
<term>Nephrectomy</term>
<term>Renal Veins</term>
<term>Urinary Fistula (complications)</term>
<term>Urinary Fistula (diagnosis)</term>
<term>Urinary Fistula (surgery)</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Carcinoma, Transitional Cell</term>
<term>Kidney Diseases</term>
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<term>Urinary Fistula</term>
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<term>Hematuria</term>
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<term>Urinary Fistula</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Hematuria</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Carcinoma, Transitional Cell</term>
<term>Hematuria</term>
<term>Kidney Diseases</term>
<term>Kidney Neoplasms</term>
<term>Urinary Fistula</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Diagnosis, Differential</term>
<term>Female</term>
<term>Humans</term>
<term>Kidney Calices</term>
<term>Laser Coagulation</term>
<term>Nephrectomy</term>
<term>Renal Veins</term>
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<front><div type="abstract" xml:lang="en">A 65-year-old woman was admitted with intermittent gross hematuria of 6 months' duration without other significant urinary-tract symptoms. At bilateral ureterorenoscopy under general anesthesia, a connection from an upper calix to the main left renal vein through a small venous channel was apparent, but there was no evidence of bleeding. In the right upper calix, a bleeding small papillary lesion was seen and ablated with low-power thulium laser coagulation. The histologic examination revealed a grade 3 stage pT1 TCC. Where no definite bleeding is seen from a veno-caliceal fistulous opening at ureterorenoscopy, it is imperative to inspect the entire contralateral upper urinary tract to exclude other causes of bleeding.</div>
</front>
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<DateCreated><Year>2006</Year>
<Month>12</Month>
<Day>05</Day>
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<DateCompleted><Year>2007</Year>
<Month>02</Month>
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<PubDate><Year>2006</Year>
<Month>Nov</Month>
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<Title>Journal of endourology / Endourological Society</Title>
<ISOAbbreviation>J. Endourol.</ISOAbbreviation>
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<ArticleTitle>Cause of upper urinary-tract essential hematuria: Veno-caliceal fistula or contralateral coexistent upper-tract transitional-cell carcinoma? Case report.</ArticleTitle>
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<Abstract><AbstractText>A 65-year-old woman was admitted with intermittent gross hematuria of 6 months' duration without other significant urinary-tract symptoms. At bilateral ureterorenoscopy under general anesthesia, a connection from an upper calix to the main left renal vein through a small venous channel was apparent, but there was no evidence of bleeding. In the right upper calix, a bleeding small papillary lesion was seen and ablated with low-power thulium laser coagulation. The histologic examination revealed a grade 3 stage pT1 TCC. Where no definite bleeding is seen from a veno-caliceal fistulous opening at ureterorenoscopy, it is imperative to inspect the entire contralateral upper urinary tract to exclude other causes of bleeding.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Defidio</LastName>
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<AffiliationInfo><Affiliation>Department of Urology, Hospital Cristo Re, Rome, Italy. defidio@tin.it</Affiliation>
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<Author ValidYN="Y"><LastName>Patel</LastName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D017075">Laser Coagulation</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D009392">Nephrectomy</DescriptorName>
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