Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2015 Mar;41(1):48-50.
doi: 10.5152/tud.2014.48208. Epub 2014 Oct 15.

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

Bülent Altay  1 , Cem Cahit Barışık  2 , Bülent Erkurt  1 , Murat Can Kiremit  1
Affiliations

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

Bülent Altay et al. Turk J Urol. 2015 Mar.

Abstract

Renal pelvic hematoma (Antopol Goldman lesion) is a rare but significant condition that may clinically mimick a renal or a pelvic neoplasm. Differential diagnosis and optimal treatment are still not known certainly. A 80-year-old male patient admitted to the emergency department with gross hematuria/clot retention and right flank pain. Magnetic resonance imaging (MRI) imaging revealed a filling defect in the right renal pelvis. Diagnostic flexible uretrorenoscopy was performed and a renal pelvic tumor was excluded. A 6 Fr double J (DJ) ureteral catheter was placed for 4 weeks while the patient was under an antifibrinolytic therapy. Filling defect was not detected at 3(rd) month control MRI. During 6 months of the follow-up period, gross hematuria or any abnormal radiological finding was not encountered.

Keywords: Antopol-Goldman lesion; kidney; pseudotumor; subepithelial pelvic hematoma.

PubMed Disclaimer

Figures

Figure 1.
Figure 1.
Filling defect detected in the right renal pelvis on MRI, transverse section
Figure 2.
Figure 2.
Filling defect detected in the right renal pelvis on MRI, coronal section
See this image and copyright information in PMC

References

    1. Antopol W, Goldman L. Subepithelial hemorrhage of renal pelvis simulating neoplasm. Urol Cutaneous Rev. 1948;52:189–95. - PubMed
    1. Labay GR, Orkin LA. Subepithelial hemorrhage of renal pelvis simulating neoplasm (Antopol-Goldman lesion) Mt Sinai J Med. 1972;39:178–87. - PubMed
    1. Viamonte M, Roen SA, Viamonte M, Jr, Casal GL, Rywlin AM. Subepithelial hemorrhage of renal pelvis simulating neoplasm (Antopol-Goldman lesion) Urology. 1980;16:647–9. http://dx.doi.org/10.1016/0090-4295(80)90581-6. - DOI - PubMed
    1. Levitt S, Waisman J, deKernion J. Subepithelial hematoma of the renal pelvis (Antopol-Goldman lesion): a case report and review of the literature. J Urol. 1984;31:939–41. - PubMed
    1. Oza KN, Rezvan M, Moser R. Subepithelial hematoma of the renal pelvis (Antopol-Goldman lesion) J Urol. 1996;155:1032–3. http://dx.doi.org/10.1016/S0022-5347(01)66378-X. - DOI - PubMed

LinkOut - more resources