Bilateral perirenal hematoma simulating metastasis

Perirenal hematoma is a common complication of traumatism and renal procedures such as nephrostomy, angiography, and lithotripsy. It may constitute a challenging diagnosis in a pre-existing tumor context or in case of an atypical imaging appearance. We present a female patient followed for cervix ca...

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Main Authors: Hatim Essaber, Meryem Echchikhi, Hounayda Jerguig, Rachida Latib, Youssef Omor
Format: Article
Language:English
Published: Elsevier 2024-02-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043323007380
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author Hatim Essaber
Meryem Echchikhi
Hounayda Jerguig
Rachida Latib
Youssef Omor
author_facet Hatim Essaber
Meryem Echchikhi
Hounayda Jerguig
Rachida Latib
Youssef Omor
author_sort Hatim Essaber
collection DOAJ
description Perirenal hematoma is a common complication of traumatism and renal procedures such as nephrostomy, angiography, and lithotripsy. It may constitute a challenging diagnosis in a pre-existing tumor context or in case of an atypical imaging appearance. We present a female patient followed for cervix cancer, who developed bilateral perirenal hematoma with an atypical MRI appearance evoking a malignant tumor. The diagnosis is established by the association of different imaging data (MRI with diffusion and ADC, CT scan without contrast, and CT scan after injection of contrast product). Percutaneous drainage remains the best management option for the perirenal hematoma in hemodynamic stable patients.
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spelling doaj.art-be1710e3a67e40a7ab5377e4862d48482023-12-10T06:14:27ZengElsevierRadiology Case Reports1930-04332024-02-01192591593Bilateral perirenal hematoma simulating metastasisHatim Essaber0Meryem Echchikhi1Hounayda Jerguig2Rachida Latib3Youssef Omor4National Institute of Oncology, CHU Ibn Sina, Faculty of Medicine and Pharmacy of Rabat, Rabat, MoroccoCorresponding author.; National Institute of Oncology, CHU Ibn Sina, Faculty of Medicine and Pharmacy of Rabat, Rabat, MoroccoNational Institute of Oncology, CHU Ibn Sina, Faculty of Medicine and Pharmacy of Rabat, Rabat, MoroccoNational Institute of Oncology, CHU Ibn Sina, Faculty of Medicine and Pharmacy of Rabat, Rabat, MoroccoNational Institute of Oncology, CHU Ibn Sina, Faculty of Medicine and Pharmacy of Rabat, Rabat, MoroccoPerirenal hematoma is a common complication of traumatism and renal procedures such as nephrostomy, angiography, and lithotripsy. It may constitute a challenging diagnosis in a pre-existing tumor context or in case of an atypical imaging appearance. We present a female patient followed for cervix cancer, who developed bilateral perirenal hematoma with an atypical MRI appearance evoking a malignant tumor. The diagnosis is established by the association of different imaging data (MRI with diffusion and ADC, CT scan without contrast, and CT scan after injection of contrast product). Percutaneous drainage remains the best management option for the perirenal hematoma in hemodynamic stable patients.http://www.sciencedirect.com/science/article/pii/S1930043323007380Perirenal hematomaMetastasisMRICT scan
spellingShingle Hatim Essaber
Meryem Echchikhi
Hounayda Jerguig
Rachida Latib
Youssef Omor
Bilateral perirenal hematoma simulating metastasis
Radiology Case Reports
Perirenal hematoma
Metastasis
MRI
CT scan
title Bilateral perirenal hematoma simulating metastasis
title_full Bilateral perirenal hematoma simulating metastasis
title_fullStr Bilateral perirenal hematoma simulating metastasis
title_full_unstemmed Bilateral perirenal hematoma simulating metastasis
title_short Bilateral perirenal hematoma simulating metastasis
title_sort bilateral perirenal hematoma simulating metastasis
topic Perirenal hematoma
Metastasis
MRI
CT scan
url http://www.sciencedirect.com/science/article/pii/S1930043323007380
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