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Hematuria due to a papillary hemangioma of the renal pelvis

Hematuria due to a papillary hemangioma of the renal pelvis

Arch Path 40(2): 84-87

Hematuria arising from the kidney before the age of 40 may be due to a hemangioma of the renal pelvis. This hemorrhage may be severe and require nephrec-tomy. The present report describes a case in which a left heminephrectomy was performed on a 34-yr. old white o* because of constant hematuria and colicy pains. Operation was uneventful and recovery rapid. The diagnosis could not be made prior to operation, although pyelographic studies showed a filling defect in the upper calix. Gross examination demonstrated the presence of a pea shaped and sized pedunculated tumor mass contiguous with a papilla of a posterior superior calix and which was attached to the pelvic lining by a rather broad pedicle. Microscopic examination disclosed a cavernous hemangioma in the mass as well as in the tip of the kidney. Chronic inflammatory changes of the pelvic mucosa could also be detd.

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