PMC7339000_01
A, B: a computed tomography (CT) scan which revealed a 9.7 x 9 x 11 cm left perirenal hematoma mainly occupying the lower pole of the left kidney. C: angiogram during emergency embolization which revealed an area of extravasation.
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Thereafter, a computed tomography (CT) scan was performed, which revealed a 9.7 x 9 x 11 cm left perirenal hematoma mainly occupying the lower pole of the left kidney (Fig. 1A, B). The patient was transferred to the interventional radiology suite, where he underwent an angiogram and embolization (Fig. 1C).
A, B: Follow up CT scan showed reduction of the hematoma by 50 percent compared to the initial CT scan, and there were no other abnormalities or lesions. C: Follow up renal Ultra sound showed no masses, stones or hydronephrosis with normal corticomedullary differentiation.
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The follow-up CT scan showed reduction of the hematoma by 50 percent as compared with the initial CT scan, and no other abnormality or lesion was noted (Fig. 2A, B). Three months after discharge, the patient underwent a kidney ultrasound, which showed no mass, stone, or hydronephrosis; normal corticomedullary differentiation was observed (Fig. 2C).
MRI, which showed left renal lower pole heterogenous mass measuring 6 x 5 x 4 cm suspicious for renal cell carcinoma.
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