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Case Report
Renal artery embolization in a case of renal cell carcinoma with intractable hematuria with acute myocardial infarction
1 Consultant Urologist, Department of Urology, Rainbow Hospital, Agra, Uttar Pradesh, India
2 Chairman, Department of Urology and Renal Sciences, Pushpanjali Hospital and Research Centre, Agra, Uttar Pradesh, India
3 Department of Urology and Renal Transplant, Pushpanjali Hospital and Research Centre, Agra, Uttar Pradesh, India
4 Senior Consultant, Department of Urology and Renal Transplant, Pushpanjali Hospital and Research Centre, Agra, Uttar Pradesh, India
5 Head of Department, Department of Urology and Renal Transplant, Pushpanjali Hospital and Research Centre, Agra, Uttar Pradesh, India
6 Senior Resident, Department of Urology and Renal Transplant, Pushpanjali Hospital and Research Centre, Agra, Uttar Pradesh, India
Address correspondence to:
Madhu Sudan Agrawal
Chairman, Department of Urology and Renal Sciences, Pushpanjali Hospital and Research Centre, Agra, Uttar Pradesh,
India
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Article ID: 100044Z15LS2024
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How to cite this article
Sharma LK, Agrawal MS, Kumar N, Yadav A, Mishra D, Sharma G. Renal artery embolization in a case of renal cell carcinoma with intractable hematuria with acute myocardial infarction. J Case Rep Images Urol 2024;9(1):22–28.ABSTRACT
Introduction: Renal artery embolization is a valuable treatment option for various renal tumors, both malignant and benign. The indications for this procedure include preoperative arterial embolization of large and vascular renal cell carcinoma to reduce intraoperative hemorrhagic complications, management of malignant renal tumors in patients who are not suitable candidates for surgery, treatment of symptomatic hematuria and palliative care for metastatic renal cancer.
Case Report: In this case report, we present the case of a 56-year-old female with a known history of hypertension and cerebrovascular accident, who presented with complaints of hematuria and urinary retention. A diagnosis of left renal mass suggestive of renal cell carcinoma was made. The patient was planned for left radical nephrectomy and advised to discontinue aspirin for a week. However, on the morning of surgery, she experienced acute myocardial infarction and had to be hospitalized in intensive cardiac care. Aspirin was restarted, leading to recurrent severe hematuria. The patient underwent renal artery embolization, which successfully controlled the hematuria. Following cardiac stabilization, radical nephrectomy was performed three months later. The surgery and post-operative period were uneventful.
Conclusion: This case study demonstrates the use of renal artery embolization as an effective modality for controlling hematuria, and temporizing management in a case of renal cell carcinoma where surgery was not immediately feasible due to a medical emergency.
Keywords: Hematuria, Renal artery embolization, Renal cell carcinoma
SUPPORTING INFORMATION
Author Contributions
Laxmi Kant Sharma - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Madhu Sudan Agrawal - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Naveen Kumar - Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Anurag Yadav - Analysis of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Dilip Mishra - Acquisition of data, Analysis of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Gaurav Sharma - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2024 Laxmi Kant Sharma et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
