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s / Urological Science 26 (2015) 301e310 305 distended bladder with irregular surface about 6.4 cm in length at right lateralwall and 5.2 cm in length at base of bladderwere revealed. Therefore, computed tomography of abdomenwas arranged due to suspected bladder tumor. Soft tissue in the urinary bladder and no obvious lymph node in pelvic cavity were showed. She was admitted for further evaluation. The cystoscopy was arranged for evaluation of suspected bladder tumor at the 2nd day after admission. The blood clot about 40 ml at base of bladder and the irregular and bulging tumor in the trigone of bladder were found. Hence, the bladder biopsy and Toomey's irrigation were performed. The pathologic finding was diffuse large B cell lymphoma (CK ( ), CD3 ( ), CD20 (+), chromogranin 9 ( )(Picture 5e10). And then, chemotherapy with R-CHOP regimenwas performed. The symptoms got improved after 2 courses of R-CHOP regimen. NDP11: IS SYSTEMIC LUPUS ERYTHEMATOSUS A CLUE TO OCCULT RENAL CELL CARCINOMA? e A CASE REPORT Chih-Ming Lu. Department of Urology, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Chiayi, Taiwan Purpose: Patients with systemic lupus erythematosusmay involve in renal disorders, such as persistent proteinuria or cellular cast in urine, and followed by lupus nephritis. An association between systemic lupus erythematosus and the development of renal cell carcinoma has been reported in a case report. Systemic lupus erythematosus is described as a paraneoplastic syndrome associated with renal cell carcinoma. Actually the nature of the relationship between those two diseases remains unclear. Materials and Methods:We report that a 29-year-old female presented to the emergency department with acute abdominal pain and vomiting sudden onset. Spontaneous rupture of the left kidney with massive hematoma over left retroperitoneum was depicted in a computed tomography scan. She had a history of systemic lupus erythematosus for 16 years (diagnosed in the age of 13), followed by the development of lupus nephritis in the age of 17. Simultaneously she initialized hemodialysis due to end-stage renal disease. Besides, she received surgical intervention for Mallory-Weiss tear several years ago. We try to clarify the association between renal cell carcinoma and systemic lupus erythematosus. Conclusion: The incidence of renal cell carcinoma among patients with systemic lupus erythematosus is rare. The survey of occult renal cell carcinoma may be helpful for those patients involve in end-stage renal disease, rather than systemic lupus erythematosus. NDP12: CASE REPORT e SURGICAL REPAIR OF COMPLEX RENAL ARTERY ANEURYSM BY BENCH SURGERY AND AUTOTRANSPLANTATION Hung-Yi Chen, Wen-Hsiang Chen, Cheng-chia Lin, Shian-Shiang Huang, Cheng-Feng Lin, Chun-Te Wu. Divisions of Urology, Department of Surgery, Chang Gung Memorial Hospital, Keelung, Taiwan Materials and Methods: A 58-year-old woman has underlying disease of hypertension under medication control, who had incidentally found of left renal artery aneurysm (RAA) via chest computed tomography(CT) because of one episode of sudden onset chest pain. The aneurysmmeasured 1.5 cm in diameter with some mural thrombus in the left distal main renal artery, bifurcation level. Interval enlargement about 0.4cm in diameter was noted between six-month period. Endovascular intervention was not feasible because of complex RAA pattern. She hospitalized and received handassisted laparoscopic nephrectomy, ex-vivo repair of the RAA and autotranplantation into the left iliac fossa. The following pathological report disclosed arteriosclerosis. Her postoperative course was smooth and uncomplicated and she tolerated the procedure well. Conclusion: Endovascular surgery or in vivo aneurysm resection with angioplasty reconstruction maybe a surgical challenge for complex RAA sometimes, kidney sparing is also taken into consideration. We here reported a case of complex RAA received hand-assisted laparoscopic nephrectomy combined with backbench ex vivo repair, followed by autotransplantation, which is a feasible and safe procedure and combines the advantage of minimally invasive surgery with the effectiveness of ex vivo aneurysm repair. other NDP13: INITIAL EXPERIENCE USING BALLOON DILATOR DURING PERCUTANEOUS NEPHROLITHOTOMY Pao-Hwa Chen, Pai-Fu Wang, Jesen Lin, Heng-Chieh Chiang, Chang-Pao Chang, Meng-Yi Yan, Kuo-Hsuan Huang, Sheng-Hsien Huang, Chun-Chi Chen, Hung-Jen Shih, Jian-Xiang Zhang, Jian-ting Chen. Divisions of Urology, Department of Surgery, Changhua Christian Hospital, Changhua,

Case report – Surgical repair of complex renal artery aneurysm by bench surgery and autotransplantation