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

Lookup NU author(s): Dr Holly Mabillard, Dr Shalabh Srivastava, Professor John SayerORCiD

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Abstract

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.

Publication metadata

Author(s): Mabillard H, Srivastava S, Haslam P, Karasek M, Sayer JA

Publication type: Article

Publication status: Published

Journal: Case Reports in Nephrology

Year: 2017

Volume: 2017

Print publication date: 18/10/2017

Online publication date: 18/10/2017

Acceptance date: 18/09/2017

Date deposited: 08/01/2018

ISSN (print): 2090-6641

ISSN (electronic): 2090-665X

Publisher: Hindawi

URL: https://doi.org/10.1155/2017/4653267

DOI: 10.1155/2017/4653267

PubMed id: 29181208

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