Clinical Practice and Cases in Emergency Medicine
55 year-old Female with Hematuria
- Author(s): Long, Drew A.
- Long, Brit
- et al.
Published Web Locationhttps://doi.org/10.5811/cpcem.2020.2.46271
Case Presentation: A 55 year-old female presented to the emergency department with left sided abdominal pain and hematuria. Computed tomography scan of her abdomen and pelvis demonstrated a large left renal mass with extension into the left ureter, left renal vein, and inferior vena cava. She was admitted and treated for presumed renal cell carcinoma (RCC).
Discussion: RCC may present with abdominal or flank pain and hematuria, but more commonly presents with vague symptoms. RCC should be suspected in a patient presenting with hematuria and abdominal or flank pain, especially if vague symptoms such as fatigue or anorexia are also present.