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Case Reports in Nephrology
Volume 2017, Article ID 4653267, 3 pages
https://doi.org/10.1155/2017/4653267
Case Report

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

1Renal Services, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK
2Nephrology Department, Sunderland Royal Hospital, Sunderland, UK
3Interventional Radiology, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK
4Interventional Radiology, Sunderland Royal Hospital, Sunderland, UK
5Institute of Genetic Medicine, Newcastle University, Newcastle upon Tyne, UK

Correspondence should be addressed to John A. Sayer; ku.ca.eltsacwen@reyas.nhoj

Received 15 August 2017; Accepted 18 September 2017; Published 18 October 2017

Academic Editor: Rumeyza Kazancioglu

Copyright © 2017 Holly Mabillard et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.