Spontaneous Rupture of Renal Cell Carcinoma in Pregnancy: A Case Report

Renal cell carcinoma is the most common type of malignancy in pregnancy. Rupture of renal cell carci-noma is not uncommon. The diagnosis of renal cell carcinoma is often delayed as the clinical presenta-tion might resemble other pregnancy-related disorders or asymptomatic in most cases and a complete ultrasonographic examination of the abdomen is not a part of the routine obstetric evaluation. We report a rare case with spontaneous rupture of renal cell carcinoma in 20 years old in full-term pregnancy prim-igravida presented by hypertensive disorder and severe abdominal pain with massive retro peritoneum collection, radical nephrectomy was done and the patient life was saved.

肾细胞癌（Renal cell carcinoma）是妊娠期间最常见的恶性肿瘤类型，其破裂并非罕见情况。由于该病的临床表现常与其他妊娠相关疾病相似，且多数患者无明显症状，加之完整的腹部超声检查并非常规产科评估的组成部分，因此肾细胞癌的诊断往往被延误。本文报告1例罕见病例：一名20岁足月妊娠初产妇，以高血压性疾病、剧烈腹痛伴大量腹膜后积液为主要表现，最终接受了根治性肾切除术，成功挽救了患者生命。