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Patient File #334520
History
24th January 2021
A 64-year-old businesswoman presents to the emergency room of our hospital in the evening, due to acute pain in her lower abdomen. Asked for her medical history, she reports not having any pre-existing conditions or past sugeries, she takes no regular medication, and she has never smoked.
25th January 2021
Cystoscopy results do not reveal pathlogic findings, ureter stents (pigtail catheters) are places bi-laterally. CT-scan thorax/abdomen/pelvis: bilateral hydronephrosis, left kidney << mute >>, i.e. without significant fuction; multiple pathologically enlarged lymph noddes in the retroperitoneal region, suspicion of right sided peritoneal and pleural carcinomatosis and of multipe bone metastases (figure 1)
Figure 1: First CT-scan reveals bilateral hydroephrosis and a non-functioning left kidney plus pathologically enlarged retroperitoneal lymph nodes.
26th January 2021
CT-guided reroperitoneal biopsy carried out.
So far no result recorded, please contact pathologist - jeffrey.strong@stbedeshospital.co.uk
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