Kidney rupture: An unusual and oligosymptomatic complication in a dialysis patient with acquired cystic disease

Giorgina Barbara Piccoli, Francesca Bermond, Elisabetta Mezza, Fedele La Saponara, Marco Quaglia, Massimo Gai, Patrizia Anania, Luigi Biancone, Alberto Jeantet, Ugo Ferrando, Giuseppe Paolo Segoloni

Risultato della ricerca: Contributo su rivistaArticolo in rivistapeer review

Abstract

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.
Lingua originaleInglese
pagine (da-a)394-397
Numero di pagine4
RivistaJournal of Nephrology
Volume15
Numero di pubblicazione4
Stato di pubblicazionePubblicato - lug 2002
Pubblicato esternamente

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