Subepithelial Hematoma of the Renal Pelvis (Antopol-Goldman Lesion)

Subepithelial Hematoma of the Renal Pelvis Simulating Neoplasm (Antopol-Goldman Lesion)

“…Antopol and Goldman [1] originally described 7 cases, and 7 additional patients with the lesion have been reported [2][3][4][5]. Our case brings the total to 15.…”

“…Among the 14 reported cases 12 underwent nephrecto my and 2 were treated with partial nephrectomy [1][2][3][4][5]. Our case underwent radical nephroureterectomy with bladder cuff resection.…”

“…The typical case involves a woman in the 4th to 6th decade of life who presents with flank pain, gross hematuria, and a renal pelvic filling defect detected radiologically. It has been reported in 14 patients [1][2][3][4][5]. We report the 15th case and review the literature.…”

Subepithelial pelvic hematoma of the kidney (Antopol-Goldman Lesion)

“…In the literature, various conditions have been associated with its etiology in miscellaneous case series which include trauma, congenital malformations (bifid pelvis, fetal lobulation, aberrant vessels, and ureteral insertion abnormalities), hypertension, excessive analgesic use, and anticoagulant therapy. [1][2][3][4][5] As far as we can detect, one case in the neonatal age group, and 12 cases under 40 years of age were encountered in the literature, but it is more frequently observed in individuals older than 40 years without any predilection for male or female gender. Majority of the patients with hematuria, and filling defect in the renal pelvis had eventually undergone nephroureterectomy, and diagnosis could only be made after histopathological analyses.…”

“…We have encountered a total of only 41 cases reported in the literature. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15] Typically nearly all of the patients have filling defects detected on imaging methods accompanied with clinical manifestations of painful or painless macroscopic hematuria. Lesion can be frequently localized on renal pelvis, and rarely on the upper ureter, while we haven't encountered a reported case Antopol-Goldman lesion situated in the bladder.…”