Spontaneous hemorrhage in polycystic renal disease

Case contributed by Chris O'Donnell
Diagnosis certain


Severe left loin pain and hematuria. Known familial polycystic disease with longstanding reduced renal function.

Patient Data

Age: 45 years
Gender: Male

CT KUB without IV radiographic contrast as renal colic suspected by clinicians

Typical large polycystic kidneys (PCK) with hematoma in a lower pole cyst in the left kidney that has ruptured out into the subcapsular and perinephric spaces. Spontaneous hemorrhage into PCK cysts is well recognized but rarely is the bleeding so dramatic as in this case.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.