Introduction:A case of malign hemorrhagic renal cyst in a 32 – year–old woman is reported. The patient was admitted to our hospital for further evaluation of right upper abdominal mass. CT scan and ultrasonic sonography showed a right giant renal cystic mass. The characteristic findings were thick and irregular wall and heterogeneous contents of the cystic mass.Case report:The presence of a malignant tumor in the cyst wall was suspected and nephrectomy was performed. The specimen measured 10 x 6 x 4 cm. The cyst contained bloody fluid and a hemorrhagic degenerating mass. Pathohistological examination showed evidence of malignant hemorrhagic renal cyst.
Pulmonary hypertension presents a great challenge to the anesthesiologist. The number of patients suffering from pulmonary hypertension presenting for surgery is increasing because of increased age and the modern medical and surgical therapy as well. We present a case of a patient suffering from pulmonary hypertension scheduled for left radical nephrectomy due to left kidney tumor. Preoperative optimization and prevention of deterioration of pulmonary hypertension and right side heart failure are the problems the anesthesiologist must deal with. A good collaboration among cardiologist, anesthesiologist, and the surgeon can guarantee the patient's outcome.
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