314 Unusual Case of Gross Hematuria: “Thinking Outside the Box”

The atypical signs and symptoms, the misleading interpretation of symptoms by the patient's family, and the remarkable radiograph in the following case emphasize the difficulty in early diagnosis of pelvic appendicitis. CASE REPORT A 10-year-old boy came to the Emergency Department of Community Memorial Hospital, Toms River, New Jersey, complaining of pain in the pubic bone of four hours' duration. His mother thought he might have fallen on the cross-bar of his bike and was concerned about a possible fracture of the pelvis. The boy denied any nausea, vomiting, anorexia, or change in bowel habit and had no pain elsewhere. He had noticed no gross hematuria.

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An unusual case of a vesical stone presenting gross hematuria in a boy

Clinical Nephrology ◽

10.5414/cnp61081 ◽

2004 ◽

Vol 61 (01) ◽

pp. 81-82 ◽

Cited By ~ 2

Author(s):

H.J. Kim ◽

Y.B. Jeong ◽

S. Lee ◽

W. Kim ◽

S.K. Park

Keyword(s):

Unusual Case ◽

Gross Hematuria

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An unusual case of gross hematuria with acute renal failure: answer

Pediatric Nephrology ◽

10.1007/s00467-010-1464-7 ◽

2010 ◽

Vol 26 (1) ◽

pp. 71-72

Author(s):

Karnika Das ◽

Rajiv Sinha ◽

Catherine Horsfield ◽

Manish D. Sinha

Keyword(s):

Renal Failure ◽

Acute Renal Failure ◽

Unusual Case ◽

Gross Hematuria

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A New Differential Diagnosis: Synthetic Cannabinoid-Associated Gross Hematuria

Case Reports in Medicine ◽

10.1155/2019/6327819 ◽

2019 ◽

Vol 2019 ◽

pp. 1-3 ◽

Cited By ~ 3

Author(s):

Osamah Hasan ◽

Ankit A. Patel ◽

James J. Siegert

Keyword(s):

Unusual Case ◽

Synthetic Cannabinoids ◽

Fresh Frozen Plasma ◽

Health Concern ◽

Clinical Effects ◽

Gross Hematuria ◽

Fresh Frozen ◽

History Of ◽

Recreational Use ◽

Frozen Plasma

Recreational use of synthetic cannabinoids (SCs), also known as “K2” or “Spice,” is becoming a major public-health concern due to their potential for abuse and harmful consequences. New substances are constantly being added to the content of SCs. The dearth of information on these newly added contents as they are introduced into the black market hinders risk assessments of these compounds. We report a highly unusual case of gross hematuria in a 28-year-old male patient after SC use. He was found to have a supratherapeutic INR with no history of prior anticoagulation. His hematuria resolved after four units of fresh-frozen plasma were administered. We include a literature review of the clinical effects of SCs and their possible mechanism of gross hematuria and management.

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Gross Hematuria: An Unusual Case of IgM Nephropathy

American Journal of Kidney Diseases ◽

10.1053/j.ajkd.2013.02.149 ◽

2013 ◽

Vol 61 (4) ◽

pp. B51

Keyword(s):

Unusual Case ◽

Gross Hematuria ◽

Igm Nephropathy

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Desmoid tumor: an unusual case of gross hematuria

Therapeutic Advances in Urology ◽

10.1177/1756287214553969 ◽

2014 ◽

Vol 7 (1) ◽

pp. 49-51 ◽

Cited By ~ 1

Author(s):

Sudhir Isharwal ◽

Vikas Desai ◽

Adam Horn ◽

Subodh M. Lele ◽

Chad A. Lagrange

Keyword(s):

Desmoid Tumor ◽

Unusual Case ◽

Gross Hematuria

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Ossifying Renal Tumor of Infancy: Laparoscopic Treatment and Literature Review

Case Reports in Urology ◽

10.1155/2018/1935657 ◽

2018 ◽

Vol 2018 ◽

pp. 1-5

Author(s):

Ali Hajiran ◽

Morris Jessop ◽

Zachary Werner ◽

Chad Crigger ◽

John Barnard ◽

...

Keyword(s):

Renal Mass ◽

Unusual Case ◽

Renal Tumor ◽

Abdominal Mass ◽

Renal Ultrasound ◽

Lower Pole ◽

Review Of The Literature ◽

Laparoscopic Treatment ◽

Gross Hematuria ◽

Palpable Abdominal Mass

We present an unusual case of a rare ossifying renal tumor of infancy. A 6-month-old male initially presented with gross hematuria and without any palpable abdominal mass. Renal ultrasound and MRI showed a right lower pole, calcified, endophytic renal mass. Laparoscopic radical nephrectomy was performed without complications. Pathology demonstrated an ossifying renal tumor of infancy. We report this case, in addition to a review of the literature for similar cases, to highlight a rare renal tumor in infancy that can be managed laparoscopically.

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