Epidemiology and investigation of acute abdominal presentations in autosomal dominant polycystic kidney disease

Chiu, Diana; Whiteside, A; Hegarty, Janet; Wood, Grahame; O’Donoghue, Dónal; Waldek, Stephen; Mamtora, H.; Kalra, Philip A.

doi:10.1093/ndt/gfl827

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2015

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“…[ 1 2 ] On the other hand, this rate is much lower in patients with ADPKD (18% in a cohort of 158 patients during a 7-year follow-up). [ 10 ] Spontaneous retroperitoneal hemorrhage (SRH) is rare but potentially life-threatening condition. [ 11 ] Causes of SRH includes myriad etiologies but the most common cause is kidney neoplasm, angiomyolipoma being predominant.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous retroperitoneal hemorrhage presenting as hemoperitoneum secondary to renal cyst rupture in a peritoneal dialysis patient with acquired cystic kidney disease

Bıyık¹,

Solak²,

Gaipov³

et al. 2015

Indian J Nephrol

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Spontaneous retroperitoneal hemorrhage (SRH) is a rare and potentially fatal condition. Acquired cystic kidney disease (ACKD) may cause SRH in hemodialysis patients. However, presentation of retroperitoneal hematoma as hemoperitoneum in peritoneal dialysis (PD) patients is exceedingly rare. We report a 44-year-old male PD patient who presented with hemoperitoneum secondary to retroperitoneal hematoma. The reason of SRH was rupture of the cysts of ACKD. The patient underwent unilateral nephrectomy with subsequent disappearance of hemoperitoneum. The importance of this case lies in the fact that the patients who have been receiving dialysis for a long time should be under surveillance in terms of ACKD development and potential associated complications such as cyst hemorrhage and malignancy.

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