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Large Retroperitoneal Haemorrhage Following Cyst Rupture in a Patient with Autosomal Dominant Polycystic Kidney Disease.

Holly MabillardShalabh SrivastavaPhilip HaslamMaciej KarasekJohn Andrew Sayer
Published in: Case reports in nephrology (2017)
The complications of autosomal dominant polycystic kidney disease (ADPKD) include cyst rupture and haemorrhage leading to loin pain and frank haematuria. Risk factors include large kidney volume, hypertension, and renal impairment. We present a case of a young male who, following trauma to the kidney, had a life threatening bleed from his polycystic kidney. The case was initially treated with fluid resuscitation and blood transfusion but necessitated radiological embolization of bleeding source to control the blood loss. We review the risk factors and management of cyst haemorrhage in patients with ADPKD. Contact sports should be avoided as cyst rupture can lead to severe life threatening haemorrhage.
Keyphrases
  • polycystic kidney disease
  • risk factors
  • blood pressure
  • cardiac arrest
  • chronic pain
  • case report
  • early onset
  • spinal cord
  • cardiopulmonary resuscitation
  • middle aged
  • newly diagnosed
  • trauma patients