Retroperitoneal haemorrhage due to ruptured renal cyst in PCKD
Acute flank pain
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Polycystic kidneys. Left retroperitoneal haemorrhage. A large dominant cyst in the lower pole of the left kidney has a fluid-fluid level in keeping with haemorrhage and the probable source of the retroperitoneal haemorrhage.
Bleeding into renal cysts is a well known and common complication of polycystic kidney disease, but occasionally the cysts can rupture externally, as in this case, into the retroperitoneal spaces.