Clear cell renal carcinoma complicated by mixed shock and fatal outcome. Case report

Abstract

The clear cells renal carcinoma is the renal tumor of bigger worldwide incidence. His presentation oscillates in patient elders of 50 years, rare in younger patients of that age. This article presents a fatal case of renal carcinoma of clear cells in young patient. It has to do with a feminine patient of 34 elderly years that you were relieving with the use of analgesics that attends with abdominal pain in inferior left-hand hemiabdomen of great intensity, sharp, localized type and winker. Painful abdomen to the palpation and palpable mass at left-hand flank and fist painful percussion at renal homonymous grave. After confirmation and delimitation of the mass for tomography, they accomplished two weeks to him after radical nefrectomy left-hand, with analysis histopatologic of the anatomic piece of renal carcinoma of clear cells Status I. Status that the advanced die could be still further the pulmonary nodule found in tomography of abdomen, but without data of biopsy. To sorrow of his show off good prognosis, studies the posterior, post-operative and his- remaining- stay tomográficos evidenced abscesses and thrombus in the inferior vena cava, than united to clinical complications like shock hypovolemic, septic, intestinal occlusion and renal intense lesion, relapse, progression or a stadium suspected tumoral once much more the start was  moved up to. You perished after 26 lay days for mixed shock in spite of the intensive measures. This case evidenced the peculiarity of the renal carcinoma of clear cells in a young patient, as well as his correct identification of fatal suggestive complications of advanced stadiums.