A 25-Year-old Woman With Gross Hematuria

A 25-Year-old Woman With Gross Hematuria Grand Rounds A 25-Year-old Woman With Gross Hematuria Paola Bustillos, Preston S. Kerr, Christopher D. Kosarek, Eduardo J. Eyzaguirre, and Stephen B. Williams contrast were ordered to further delineate the degree of pul- THE CASE monary and renal vein involvement, respectively. CT of 25-year-old African American woman was trans- the thorax showed significant constriction of the right lower ferred from an outside hospital for workup of newly lung segmental bronchioles believed to be secondary to Adiagnosed adnexal and renal masses. She had ini- metastatic lymphadenopathy as well as metastatic disease tially presented with gross hematuria and a urinary tract involving the trachea and esophagus (Fig. 2). Magnetic reso- infection 6 months prior that prompted workup. This was nance imaging of the abdomen with contrast showed diffuse accompanied by progressively worsening right-sided back metastatic disease, including metastatic lymphadenopa- pain 4 months before admission. The patient had a medical thy, a malignant right pleural effusion, bilateral retroperi- history of normocytic anemia and unknown family history. toneal implants, and a left paraspinal musculature metastasis. She had no history of smoking or alcohol use. On exami- Blood work was significant for hemoglobin of 11.1 g/ nation, she had decreased air movement in the http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Urology Elsevier

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Publisher
Elsevier
Copyright
Copyright © 2017 Elsevier Inc.
ISSN
0090-4295
D.O.I.
10.1016/j.urology.2017.09.024
Publisher site
See Article on Publisher Site

Abstract

Grand Rounds A 25-Year-old Woman With Gross Hematuria Paola Bustillos, Preston S. Kerr, Christopher D. Kosarek, Eduardo J. Eyzaguirre, and Stephen B. Williams contrast were ordered to further delineate the degree of pul- THE CASE monary and renal vein involvement, respectively. CT of 25-year-old African American woman was trans- the thorax showed significant constriction of the right lower ferred from an outside hospital for workup of newly lung segmental bronchioles believed to be secondary to Adiagnosed adnexal and renal masses. She had ini- metastatic lymphadenopathy as well as metastatic disease tially presented with gross hematuria and a urinary tract involving the trachea and esophagus (Fig. 2). Magnetic reso- infection 6 months prior that prompted workup. This was nance imaging of the abdomen with contrast showed diffuse accompanied by progressively worsening right-sided back metastatic disease, including metastatic lymphadenopa- pain 4 months before admission. The patient had a medical thy, a malignant right pleural effusion, bilateral retroperi- history of normocytic anemia and unknown family history. toneal implants, and a left paraspinal musculature metastasis. She had no history of smoking or alcohol use. On exami- Blood work was significant for hemoglobin of 11.1 g/ nation, she had decreased air movement in the

Journal

UrologyElsevier

Published: Feb 1, 2018

References

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