รายงานผู้ป่วยภาวะไตบวมน้ำขนาดใหญ่ร่วมกับมะเร็งเนื้อไต ชนิด Papillary

บทคัดย่อ

A 33-year-old male presented with gradually distended abdomen for 3 years. Abdominal computerized tomography revealed a huge cystic mass occupying nearly entire upper abdomen sized 18.5 x 26.5 x 26.0 cm.. Right percutaneous nephrostomy was done and yielded 8,500 ml. of dark brown fluid. Right subcapsular nephrectomy was performed 1 month later and histological diagnosis was papillary renal cell carcinoma. At 10^th post-operative day, he had huge amount of pus from surgical wound and CT scan revealed retro-peritoneal abscess so re-operation was undergone for drainage. Radical nephrectomy cound not be performed in this case due to severe adhesion and inflammation in retroperitoneal cavity.