Spontaneous haemorrhage in polycystic renal disease

Case contributed by Dr Chris O'Donnell

Presentation

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

Patient Data

Age: 45
Gender: Male

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

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

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Case information

rID: 18265
Case created: 24th Jun 2012
Last edited: 9th Nov 2015
System: Urogenital
Inclusion in quiz mode: Included

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