Subepithelial pelvic hematoma of the kidney (Antopol-Goldman lesion)

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ALTAY B., BARIŞIK C. C., ERKURT B., Kiremit M. C.

Turk Uroloji Dergisi, vol.41, no.1, pp.48-50, 2015 (Scopus) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 41 Issue: 1
  • Publication Date: 2015
  • Doi Number: 10.5152/tud.2014.48208
  • Journal Name: Turk Uroloji Dergisi
  • Journal Indexes: Scopus
  • Page Numbers: pp.48-50
  • Keywords: Antopol-Goldman lesion, kidney, pseudotumor, subepithelial pelvic hematoma
  • Istanbul Medipol University Affiliated: Yes

Abstract

Renal pelvic hematoma (Antopol Goldman lesion) is a rare but significant condition that may clinically mimick a renal or a pelvic neoplasm. Differential diagnosis and optimal treatment are still not known certainly. A 80- year-old male patient admitted to the emergency department with gross hematuria/clot retention and right flank pain. Magnetic resonance imaging (MRI) imaging revealed a filling defect in the right renal pelvis. Diagnostic flexible uretrorenoscopy was performed and a renal pelvic tumor was excluded. A 6 Fr double J (DJ) ureteral catheter was placed for 4 weeks while the patient was under an antifibrinolytic therapy. Filling defect was not detected at 3rd month control MRI. During 6 months of the follow-up period, gross hematuria or any abnormal radiological finding was not encountered.