Suburothelial Hematomas Masquerading as Neoplasms in a Patient with Supra-Therapeutic INR

Suburothelial hemorrhages (Antopol-Goldman lesions) are a rare but important condition. When unsuspected in a patient with a bleeding diathesis on anticoagulation therapy, computed tomography may lead to incorrect diagnoses of renal or transitional cell carcinoma resulting in inappropriate nephrecto...

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Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2020-07, Vol.141, p.e22-e23
Main Authors: Morgan, John T., Farhi, Jacques, Chahin, Jonathan, Zillioux, Jacqueline
Format: Article
Language:English
Subjects:
Aged, 80 and over
Diagnosis, Differential
Hematoma - blood
Hematoma - diagnosis
Humans
International Normalized Ratio
Kidney Diseases - blood
Kidney Diseases - diagnosis
Kidney Neoplasms - diagnosis
Male
Urothelium
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Summary:Suburothelial hemorrhages (Antopol-Goldman lesions) are a rare but important condition. When unsuspected in a patient with a bleeding diathesis on anticoagulation therapy, computed tomography may lead to incorrect diagnoses of renal or transitional cell carcinoma resulting in inappropriate nephrectomy. We present a patient with supratherapeutic international normalized ratio and thigh hematoma who was found to have nonenhancing solid lesions of the bilateral renal pelves consistent with suburothelial hemorrhage. The patient's INR was controlled, and he was discharged with hematology follow-up 4 weeks later.
ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2020.04.018