Acute gouty arthritis following percutaneous cryoablation of renal cell carcinoma

Ahmed-Zayn Mohamed, JD; William J. Wallach, BS; Sen Lu, MD; Bruce Zwiebel, MD; Glenn Hoots, MD

doi:10.1016/j.radcr.2019.09.003

Radiology Case Reports (Nov 2019)

Acute gouty arthritis following percutaneous cryoablation of renal cell carcinoma

Ahmed-Zayn Mohamed, JD,
William J. Wallach, BS,
Sen Lu, MD,
Bruce Zwiebel, MD,
Glenn Hoots, MD

Affiliations

Ahmed-Zayn Mohamed, JD: University of South Florida, Morsani College of Medicine, 12901 Bruce B Downs Blvd, Tampa, FL 33612, USA; Corresponding author.
William J. Wallach, BS: University of South Florida, Morsani College of Medicine, 12901 Bruce B Downs Blvd, Tampa, FL 33612, USA
Sen Lu, MD: University of South Florida, Morsani College of Medicine, 12901 Bruce B Downs Blvd, Tampa, FL 33612, USA; Tampa General Hospital, University of South Florida, Morsani College of Medicine, Tampa, FL 33606, USA
Bruce Zwiebel, MD: University of South Florida, Morsani College of Medicine, 12901 Bruce B Downs Blvd, Tampa, FL 33612, USA; Tampa General Hospital, University of South Florida, Morsani College of Medicine, Tampa, FL 33606, USA
Glenn Hoots, MD: University of South Florida, Morsani College of Medicine, 12901 Bruce B Downs Blvd, Tampa, FL 33612, USA; Tampa General Hospital, University of South Florida, Morsani College of Medicine, Tampa, FL 33606, USA

DOI: https://doi.org/10.1016/j.radcr.2019.09.003
Journal volume & issue: Vol. 14, no. 11
pp. 1432 – 1437

Abstract

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We report a case of acute gouty monoarthritis of the left ankle in a 58-year-old female with chronic renal insufficiency after cryoablation of a 3.8 cm left renal cell carcinoma. The patient's symptoms resolved after intravenous Solumedrol and did not recur at her 1-month follow-up visit. To the best of our knowledge, this is the first reported case of acute gouty monoarthritis after cryoablation of a renal cell carcinoma lesion in a patient with underlying chronic renal insufficiency. Clinicians should be vigilant of the potential for this complication in at-risk patient populations. Keywords: Gout, Arthritis, Gouty Arthritis, Ablation, Cryoablation, Renal Cell Carcinoma

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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