Effect of Body Type on Renal Injury: Major Renal Trauma Following an Insignificant Common-in-Everyday-Life Incident.

A blunt renal trauma (RT) diagnosis can present challenges. It demands increased clinical suspicion, taking into consideration patient history, mechanism of injury, and clinical and laboratory findings. Final diagnosis may be confirmed radiographically or intraoperatively. A thin, 22-year-old female with severe right flank pain appeared ambulatory in the emergency department. The pain appeared 1 h previously, following a common incident in a city bus, where the patient was as a standing passenger. The bus was moving in an urban area at low speed and decelerated rapidly. Another standing passenger fell on the patient, causing her right flank area to be compressed onto the bus banister for a few seconds. Clinical findings were insignificant. Laboratory examinations revealed only a nonvisible hematuria. Chest X-ray and abdominal ultrasonography were normal. Due to pain severity, an abdominal computed tomography scan was performed and revealed a grade-4, parenchymal RT with extravasation of contrast medium in delayed images. The patient underwent double-J stent insertion and had an uneventful recovery. She presented no complications at 5 mo postinjury. Major RT can be a result of an insignificant, blunt injury in a thin patient; thus, taking into consideration body habitus is of paramount importance in diagnostic evaluation.

Chromophobe Renal Cell Carcinoma and the Synchronous Presence of Primary Colon Malignancies. Is There a Relation?

While the presence of multiple primary malignancies in the same patient is a well described phenomenon, there is no clear association between various histological subtypes of renal cell carcinoma (RCC) and the synchronous presence of colon malignancies. We present the rare case of an 81-year-old female patient suffering from chromophobe renal cell carcinoma (chRCC) and an angiomyolipoma of her left kidney, synchronous with an adenocarcinoma of the caecum. While there is an established connection between RCC and colon cancer, a literature review is performed to specify this association in regard to chRCC and the synchronous presence of colon malignancies.