Renal pelvic urothelial carcinoma in horseshoe kidney
Minagawa, T.; Furuhata, M.; Hirabayashi, N.; Sato, T.; Kato, H.
Hinyokika Kiyo. Acta Urologica Japonica 50(6): 439-442
2004
ISSN/ISBN: 0018-1994 PMID: 15293746 Document Number: 574931
A 40-year-old man with asymptomatic gross hematuria visited our hospital. He had been followed up on the horseshoe kidney and left ureteral stone. Cystoscopy revealed a flow of gross hematuria from the left orifice. Drip infusion pyelography, retrograde pyelography, abdominal computerized tomography, magnetic resonance imaging revealed a renal pelvic mass in the upper pole of left kidney. Left nephroureterectomy and isthmusectomy and partial cystectomy were done. A microwave tissue coagulator (Microtaze(R) AZM-520, AZWELL) was used to divide the isthmus. There was very little bleeding and leakage of urine from the divided isthmus. The postoperative course was favorable.