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  Common causes of gross haematuria include stones, neoplasms,tuberculosis, trauma and prostatitis. However, macroscopic haematuriacan occur in patients with IgA nephropathy. IgA nephropathyusually occurs in patients under 40 years of age, and loin painoften accompanies the haematuria 1]. Furthermore, macroscopichaematuria in IgA nephropathy often causes acute renal failurebecause of tubular obstruction by red blood cells 2–4].Obstruction or haematoma of the renal pelvis and lower urinarytract by gross haematuria in IgA nephropathy or any other diseasescausing haematuria has not been reported. Here, we report thecase of a patient with pelvic haematoma in IgA nephropathy,that was erroneously suspected for pelvic malignancy leadingto its radical resection.   A

Spontaneous renal pelvic haematoma mimicking cancer in IgA nephropathy.
Authors:Young-Woong Won  Sang-Woong Han  Ho-Jung Kim  Young-Ha Oh  Moon-Hyang Park
Institution:Department of Internal Medicine, Hanyang University, Guri Hospital, 249-1 Gyomoon Guri, Gyeonggi 471-701, Korea.
Abstract:   Introduction    Case
Keywords:haematuria  IgA nephropathy  renal pelvic haematoma
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