Case 11-1981: Transitional-Cell Carcinoma of Renal Pelvis

To the Editor: The CPC in the March 12 issue describes a woman admitted to the hospital with fever, anemia, a nonvisualized kidney on intravenous pyelography, and an abnormal retrograde pyelogram.¹ After transfer to Massachusetts General Hospital, the patient underwent the following procedures: a percutaneous selective angiogram, a left renal venogram, an abdominal sonogram, and an abdominal CAT scan, with and without contrast. Finally, on Day 6, after seven radiologic procedures, an operation was performed. The patient was found at surgery to have transitional-cell carcinoma of the renal pelvis. Having just read the article in the same issue on iatrogenic.