Separating Fact From Factitious Hemoptysis: A Case Report

2014 ◽  
Vol 34 (4) ◽  
pp. 36-42 ◽  
Author(s):  
Susan M. Mucha ◽  
Linda A. Varghese ◽  
Russell E. French ◽  
Daniel A. Shade

A 61-year-old man with a history of testicular carcinoma and more recently diagnosed metastatic renal cell carcinoma was admitted because of recurrent submassive hemoptysis as evidenced by bright red blood in his bedside basin. Despite an exhaustive workup, including multiple invasive procedures, no cause of the bleeding was found. The diagnosis was Münchausen syndrome manifested as factitious hemoptysis via unusual and modern means. The case is a reminder to all members of the critical care team, from nurses to physicians: When dealing with the frustration of a recurrent problem with no clear answer, remain vigilant and remember the age-old advice to look at the patient… and trust your gut.

2020 ◽  
Vol 36 (4) ◽  
pp. 315
Author(s):  
RavimohanS Mavuduru ◽  
MukeshKumar Gupta ◽  
Pawan Kaundal ◽  
GirdharS Bora ◽  
Ujjwal Gorsi

2021 ◽  
Author(s):  
Dina Alnabwani ◽  
Frederick Acquah ◽  
Anish Kumar Kanukuntla ◽  
Priyaranjan Kata ◽  
Pramil Cheriyath

Abstract Background: Renal Cell carcinoma usually presents metastasis at the diagnosis and the most common sites include lung, bones, liver, and brain in decreasing order. Metastasis to the large intestine is very uncommon and few cases are reported in the literature. Case Presentation: We present a case of post nephrectomy renal cell carcinoma who presented to our institution with signs of anemia and on further investigations found to be having metastatic lesions of renal cell carcinoma in the intestine, peritoneum, and abdominal wall. Conclusion: We hypothesize that due to recent advances in the treatment of renal cell carcinoma, the patient's survival rate increased and this leads to atypical presentations of the known diseases. Through this case report, we stress the importance of vigilant evaluation for intestinal metastasis when the patient presents with gastrointestinal bleeding and a history of renal cell carcinoma regardless of the time since nephrectomy.


1995 ◽  
Vol 81 (6) ◽  
pp. 450-453 ◽  
Author(s):  
Roberto Innocente ◽  
Roberto Bortolus ◽  
Antonino De Paoli ◽  
Giovanni Boz ◽  
Carlo Gobitti ◽  
...  

The authors report a case of a solitary thyroid metastasis in a 62-year-old woman. The clinical history of the patient and the histologic findings are consistent with a renal origin of the tumor. Gli Autori riportano un caso di metastasi unica tiroidea in una donna di 62 anni. I dati anamnestici ed i reperti anatomo-patologici suggeriscono una origine renale della neoplasia.


2019 ◽  
Vol 47 (6) ◽  
pp. 2728-2739
Author(s):  
Xu Cheng ◽  
Zhichao Huang ◽  
Daiqiang Li ◽  
Yinhuai Wang

Introduction Primary renal lymphoma is a rare malignant lymphoma that is difficult to differentiate from renal cell carcinoma. Positron emission tomography/computed tomography and image-guided percutaneous biopsy are valuable tools for diagnosis. Case report A 64-year-old woman presented with a 2-year history of repeated right waist pain and a 1-month history of nausea, vomiting, and frequent and urgent urination. A computed tomography scan showed a huge mass that was initially considered to be renal cell carcinoma at the upper pole of the right kidney. The mass had invaded the renal pelvis, narrowed the right renal artery, and constricted the inferior vena cava and liver. Postoperative examination of the tumor confirmed lymphoma. We herein present this case and its multidisciplinary team management. Conclusion Multidisciplinary team management is efficient for preoperative assessment and surgery in difficult and high-risk cases. Based on our literature review, we suggest biopsy before chemotherapy whenever possible. Chemotherapy can be implemented after surgery for better survival outcomes.


2004 ◽  
Vol 51 (3) ◽  
pp. 337
Author(s):  
Seung Hyun Cho ◽  
Young Hwan Lee ◽  
Kyung Jae Jung ◽  
Young Chan Park ◽  
Ho Kyun Kim ◽  
...  

2017 ◽  
Author(s):  
Carolina Faria ◽  
David Barbosa ◽  
Ana Sofia Osorio ◽  
Ema Nobre ◽  
Maria Joao Bugalho

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