Open Access

RESIDENT’S CORNER

Amyloidosis and acute hemorrhage of the kidney, ureter, and bladder

Dany N. Hanna, Jason A. Levy, Jonah S. Marshall

Department of Urology, Hahnemann University Hospital/Drexel University College of Medicine, Philadelphia, Pennsylvania, USA
Address correspondence to Dr. Dany N. Hanna, Department of Urology, Hahnemann University Hospital, Broad & Vine Streets, MS 300 – Hospital Administration, Philadelphia, PA 19102 USA

Canadian Journal of Urology 2017, 24(4), 8934-8936.

Abstract

Gross hematuria is a common occurrence in adults. The differential diagnosis is extensive, including: malignancy, trauma, infammation of the urinary tract, and stones. While, urinary tract amyloidosis represents only a small percentage of causative gross hematuria, it is concerning because of its superfcial resemblance to malignant processes. We report the case of an 82-year-old male with concurrent primary amyloidosis of the kidney, ureter and bladder in the setting of acute hemorrhage. Histopathological examination of several biopsied samples confrmed our diagnosis. A nephroureterectomy with bladder cuff was successfully performed without complication along with watchful waiting for the bladder amyloidosis.

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