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NDT Advance Access originally published online on August 25, 2006
Nephrology Dialysis Transplantation 2007 22(1):254-256; doi:10.1093/ndt/gfl471
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© The Author [2006]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Spontaneous renal pelvic haematoma mimicking cancer in IgA nephropathy

Young-Woong Won1, Sang-Woong Han1, Ho-Jung Kim1, Young-Ha Oh2 and Moon-Hyang Park2

1Department of Internal Medicine, Hanyang University, Guri Hospital, Guri and 2Department of Pathology, College of Medicine, Hanyang University, Seoul, Korea

Correspondence and offprint requests to: Dr Sang-Woong Han, Department of Internal Medicine, Hanyang University, Guri Hospital, 249-1 Gyomoon Guri, Gyeonggi 471–701, Korea. Email: cardion@hanyang.ac.kr

Keywords: haematuria; IgA nephropathy; renal pelvic haematoma

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   Introduction
 
Common causes of gross haematuria include stones, neoplasms, tuberculosis, trauma and prostatitis. However, macroscopic haematuria can occur in patients with IgA nephropathy. IgA nephropathy usually occurs in patients under 40 years of age, and loin pain often accompanies the haematuria [1]. Furthermore, macroscopic haematuria in IgA nephropathy often causes acute renal failure because of tubular obstruction by red blood cells [2–4]. Obstruction or haematoma of the renal pelvis and lower urinary tract by gross haematuria in IgA nephropathy or any other diseases causing haematuria has not been reported. Here, we report the case of a patient with pelvic haematoma in IgA nephropathy, that was erroneously suspected for pelvic malignancy leading to its radical resection.



   Case
 
A . . . [Full Text of this Article]



   Discussion
 

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