https://doi.org/10.4081/aiua.2020.4.394

Renal papillary hypertrophy, a rare cause of recurrent gross hematuria; Case report and review of literature

Vol. 92 No. 4 (2020)
Submitted: May 1, 2020
Accepted: June 6, 2020
Published: December 21, 2020
Renal papillary hypertrophy; Hematuria; Laser ablation; Flexible ureteroscopy
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Authors

Ahmad Beltagy
a_abdelkhalek11@alexmed.edu.eg
http://orcid.org/0000-0001-5178-2733
Department of Urology, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Mohamed Elsaqa
Department of Urology, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Islam Koraiem
Department of Urology, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Ahmed Abulfotooh Eid
Department of Urology, Faculty of Medicine, Alexandria University, Alexandria, Egypt.

Hematuria is a critical symptom that should properly be investigated. One of the rare causes is renal papillary hypertrophy. Literature review revealed only few reported cases. Biopsy in reported cases has shown hyperplasia of renal papillae with normal histology. We report a case of bilateral renal papillary hypertrophy in a 32 years old female presented with intermittent gross hematuria. Computed tomgraphy urography, cystoscopy and selective cytology did not show any positive findings. Retrograde flexible uretero-renoscopy showed enlarged renal papillae protruding into upper and middle calyces of both kidneys with clots and active bleeding in some. Holmium:YAG Laser ablation of hypertrophic papillae showed an effective minimally invasive management of the condition.

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Ahmed Abulfotooh Eid, Department of Urology, Faculty of Medicine, Alexandria University, Alexandria

Associate Professor of urology, Alexandria University, Egypt. 

How to Cite

Beltagy, A., Elsaqa, M., Koraiem, I., & Abulfotooh Eid, A. (2020). Renal papillary hypertrophy, a rare cause of recurrent gross hematuria; Case report and review of literature. Archivio Italiano Di Urologia E Andrologia, 92(4). https://doi.org/10.4081/aiua.2020.4.394

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