A case of acute obstructive pyelonephritis due to bleeding from a renal pelvis cancer rescued with laparoscopic nephrectomy

Introduction We encountered a case of acute obstructive pyelonephritis caused by bleeding from a renal pelvis cancer that was successfully treated by laparoscopic nephrectomy. Case presentation An 88‐year‐old woman with fever of 40.2°C and right back pain associated with hematuria due to a right ren...

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Main Authors: Masato Yanagi, Ken Takahashi, Yuta Kikuchi, Takuya Takahashi, Hideaki Iwata, Hiro Izuta, Shuichi Osawa, Taiji Nishimura, Yukihiro Kondo
Format: Article
Language:English
Published: Wiley 2025-07-01
Series:IJU Case Reports
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Online Access:https://doi.org/10.1002/iju5.12816
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author Masato Yanagi
Ken Takahashi
Yuta Kikuchi
Takuya Takahashi
Hideaki Iwata
Hiro Izuta
Shuichi Osawa
Taiji Nishimura
Yukihiro Kondo
author_facet Masato Yanagi
Ken Takahashi
Yuta Kikuchi
Takuya Takahashi
Hideaki Iwata
Hiro Izuta
Shuichi Osawa
Taiji Nishimura
Yukihiro Kondo
author_sort Masato Yanagi
collection DOAJ
description Introduction We encountered a case of acute obstructive pyelonephritis caused by bleeding from a renal pelvis cancer that was successfully treated by laparoscopic nephrectomy. Case presentation An 88‐year‐old woman with fever of 40.2°C and right back pain associated with hematuria due to a right renal pelvic tumor. Computed tomography showed a blood clot filling the right renal pelvis and ureter. She was diagnosed with severe obstructive pyelonephritis due to undrainable blood clots. Nephrectomy was performed to control the infection. Although the perirenal area was easy bleeding, nephrectomy was completed and the patient's condition improved. Conclusion Renal pelvis carcinomas with hemorrhage requiring blood transfusion should be treated with radical nephroureterectomy as early as possible.
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spelling doaj-art-7c33c0bb3879425c90c347f2fff8510b2025-08-20T02:38:07ZengWileyIJU Case Reports2577-171X2025-07-018430130410.1002/iju5.12816A case of acute obstructive pyelonephritis due to bleeding from a renal pelvis cancer rescued with laparoscopic nephrectomyMasato Yanagi0Ken Takahashi1Yuta Kikuchi2Takuya Takahashi3Hideaki Iwata4Hiro Izuta5Shuichi Osawa6Taiji Nishimura7Yukihiro Kondo8Department of Urology Heisei‐Tateishi Hospital Katsushika‐ku Tokyo JapanDepartment of Surgery Heisei‐Tateishi Hospital Katsushika‐ku Tokyo JapanDepartment of Surgery Heisei‐Tateishi Hospital Katsushika‐ku Tokyo JapanDepartment of Surgery Heisei‐Tateishi Hospital Katsushika‐ku Tokyo JapanDepartment of Anesthesiology Heisei‐Tateishi Hospital Katsushika‐ku Tokyo JapanDepartment of Urology Heisei‐Tateishi Hospital Katsushika‐ku Tokyo JapanDepartment of Urology Heisei‐Tateishi Hospital Katsushika‐ku Tokyo JapanDepartment of Urology Nippon Medical School Hospital Bunkyo‐ku Tokyo JapanDepartment of Urology Nippon Medical School Hospital Bunkyo‐ku Tokyo JapanIntroduction We encountered a case of acute obstructive pyelonephritis caused by bleeding from a renal pelvis cancer that was successfully treated by laparoscopic nephrectomy. Case presentation An 88‐year‐old woman with fever of 40.2°C and right back pain associated with hematuria due to a right renal pelvic tumor. Computed tomography showed a blood clot filling the right renal pelvis and ureter. She was diagnosed with severe obstructive pyelonephritis due to undrainable blood clots. Nephrectomy was performed to control the infection. Although the perirenal area was easy bleeding, nephrectomy was completed and the patient's condition improved. Conclusion Renal pelvis carcinomas with hemorrhage requiring blood transfusion should be treated with radical nephroureterectomy as early as possible.https://doi.org/10.1002/iju5.12816laparoscopic nephrectomyobstructive pyelonephritisrenal pelvic tumor
spellingShingle Masato Yanagi
Ken Takahashi
Yuta Kikuchi
Takuya Takahashi
Hideaki Iwata
Hiro Izuta
Shuichi Osawa
Taiji Nishimura
Yukihiro Kondo
A case of acute obstructive pyelonephritis due to bleeding from a renal pelvis cancer rescued with laparoscopic nephrectomy
IJU Case Reports
laparoscopic nephrectomy
obstructive pyelonephritis
renal pelvic tumor
title A case of acute obstructive pyelonephritis due to bleeding from a renal pelvis cancer rescued with laparoscopic nephrectomy
title_full A case of acute obstructive pyelonephritis due to bleeding from a renal pelvis cancer rescued with laparoscopic nephrectomy
title_fullStr A case of acute obstructive pyelonephritis due to bleeding from a renal pelvis cancer rescued with laparoscopic nephrectomy
title_full_unstemmed A case of acute obstructive pyelonephritis due to bleeding from a renal pelvis cancer rescued with laparoscopic nephrectomy
title_short A case of acute obstructive pyelonephritis due to bleeding from a renal pelvis cancer rescued with laparoscopic nephrectomy
title_sort case of acute obstructive pyelonephritis due to bleeding from a renal pelvis cancer rescued with laparoscopic nephrectomy
topic laparoscopic nephrectomy
obstructive pyelonephritis
renal pelvic tumor
url https://doi.org/10.1002/iju5.12816
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