TY - JOUR
T1 - Kidney rupture
T2 - An unusual and oligosymptomatic complication in a dialysis patient with acquired cystic disease
AU - Piccoli, Giorgina Barbara
AU - Bermond, Francesca
AU - Mezza, Elisabetta
AU - La Saponara, Fedele
AU - Quaglia, Marco
AU - Gai, Massimo
AU - Anania, Patrizia
AU - Biancone, Luigi
AU - Jeantet, Alberto
AU - Ferrando, Ugo
AU - Segoloni, Giuseppe Paolo
PY - 2002/7
Y1 - 2002/7
N2 - Acquired cystic kidney disease (ACKD) is a complication of end-stage renal disease, the prevalence of which is related to dialysis duration; incidence of ACKD and associated conditions (neoplasia, hemorrhage) have decreased with improvements in renal transplantation and with the ageing of the dialysis population. This report regards spontaneous kidney rupture in a 57-year old patient, on home hemodialysis for 11 years, with ACKD for 5 years. At the end of a dialysis session, the patient reported sudden onset of colicky flank pain, followed by macrohematuria. Pain remitted with low doses of pain relievers, leaving dull flank discomfort. The patient self diagnosed a renal colic, and called the hospital two days later. At referral, two large hemorrhagic renal masses (7 and 2.8 cm) were found at ultrasound and CT scan. At surgery, kidney rupture was diagnosed. This case highlights the life threatening complications associated with ACKD, and underlines that massive renal hemorrhage may occur with relatively minor symptoms.
AB - Acquired cystic kidney disease (ACKD) is a complication of end-stage renal disease, the prevalence of which is related to dialysis duration; incidence of ACKD and associated conditions (neoplasia, hemorrhage) have decreased with improvements in renal transplantation and with the ageing of the dialysis population. This report regards spontaneous kidney rupture in a 57-year old patient, on home hemodialysis for 11 years, with ACKD for 5 years. At the end of a dialysis session, the patient reported sudden onset of colicky flank pain, followed by macrohematuria. Pain remitted with low doses of pain relievers, leaving dull flank discomfort. The patient self diagnosed a renal colic, and called the hospital two days later. At referral, two large hemorrhagic renal masses (7 and 2.8 cm) were found at ultrasound and CT scan. At surgery, kidney rupture was diagnosed. This case highlights the life threatening complications associated with ACKD, and underlines that massive renal hemorrhage may occur with relatively minor symptoms.
KW - Acquired cystic disease (ACKD)
KW - Dialysis
KW - Hemorrhage
KW - Renal colic
KW - Renal rupture
UR - http://www.scopus.com/inward/record.url?scp=0036659042&partnerID=8YFLogxK
M3 - Article
SN - 1121-8428
VL - 15
SP - 394
EP - 397
JO - Journal of Nephrology
JF - Journal of Nephrology
IS - 4
ER -