scholarly journals Spontaneous renal rupture of acquired cystic kidney disease in 3 hemodialysis patients.

1999 ◽  
Vol 32 (12) ◽  
pp. 1461-1464
Author(s):  
Jun Matsuda ◽  
Hideaki Bessho ◽  
Akira Oyama ◽  
Yoshikazu Kato ◽  
Masao Kim ◽  
...  
Renal Failure ◽  
2009 ◽  
Vol 31 (7) ◽  
pp. 555-561 ◽  
Author(s):  
Chih-Jen Weng ◽  
Ming-Yang Chang ◽  
Yung-Cheng Chen ◽  
Ya-Chung Tian ◽  
Ji-Tseng Fang ◽  
...  

2020 ◽  
Vol 7 (1) ◽  
pp. 1-4
Author(s):  
Ahmed Kotb ◽  
Asmaa Ismail ◽  
Hazem Elmansy ◽  
Owen Prowse ◽  
Walid Shahrour

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.


2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
Daigoro Hirohama ◽  
Hiroshi Miyakawa

Acquired cystic kidney disease (ACKD) is a well-known late stage complication of chronic kidney disease. Cysts tend to grow with time on dialysis and could lead to malignant transformation, and intra- or perirenal hemorrhage is a rare complication of ACKD. Here we describe one case of bilateral spontaneous perirenal hemorrhage of ACKD in a 44-year-old man, on hemodialysis for 15 years. One was due to cyst rupture, and the other was due to aneurism rupture, both were controlled with transcatheter arterial embolization. In renal arteriography at the second rupture, we demonstrated extravasation from an aneurysm being present at the periphery of right renal artery. Several spontaneous perirenal hemorrhage cases were reported but its clinical information is limited, moreover, bilateral cases were extremely rare. Furthermore, to our knowledge, this is the first report of spontaneous perirenal hemorrhage caused by intraparenchymal renal artery aneurysm rupture in ACKD patients. We report this case because of its rarity and significance with respect to the complication of dialysis patients, review reported bilateral cases, and discuss some clinical characteristics.


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