Spontaneous Retroperitoneal Hemorrhage in a Patient with Acquired Cystic Kidney Disease

Abstract

Spontaneous retroperitoneal hemorrhage (SRH) is a rare emergency. It is usually encountered in patients on hemodialysis and is associated with high rate of morbidity and mortality. This is a case from the emergency department. The patient had unstable vitals with SRH following dialysis. Immediate exploration and nephrectomy using transverse lateral lumbotomy incision were done. Patients on hemodialysis are at a risk of SRH and frequent surveillance is recommended. Acquired cystic kidney disease (ACKD) can develop in hemodialysis patients and put them at risk for bleeding. Transverse lateral lumbotomy may be a safe option for direct access to the kidney in emergency kidney surgery.

Bilateral Single-Stage Nephrectomy for Synchronous Bilateral Renal Cell Carcinoma

“…All PNs for these patients were stage T1a and were managed through single-stage bilateral transverse lateral lumbotomy. Our surgical approach has been presented in former publications ( 3 , 4 ).…”