Open AccessSpontaneous Hemorrhage in Acquired Renal Cystic Disease
Author(s) -
Fee-Le Chen,
Yuan-Lung Yang,
Pi-Jen Hong
Publication year - 2010
Publication title -
urological science
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.155
H-Index - 8
eISSN - 1879-5234
pISSN - 1879-5226
DOI - 10.1016/s1879-5226(10)60012-7
Subject(s) - medicine , hemodialysis , hematoma , radiology , abdomen , nephrectomy , lesion , complication , cystic kidney disease , disease , surgery , kidney , pathology
Acquired renal cystic disease is a complication of end-stage renal disease and the prevalence of which is related to dialysis duration. The significance of this condition is its association with neoplasm and spontaneous hemorrhage. A 46-year-old uremic female was seen at the emergency room shortly after hemodialysis because of sudden onset of right upper quadrant pain. A computed tomography of the abdomen without contrast revealed a distinct subhepatic lesion resembling liver abscess. Sonography, however, favored a complex cystic lesion or a solid renal tumor with necrosis. Magnetic resonance imaging concurred with the above findings, yet going further to implicate the possibility of a hematoma. A fist-size hematoma was discovered in the multicystic right kidney during nephrectomy, and the pathologic report showed cystic atypia. Spontaneous hemorrhage in acquired renal cystic disease during long-term dialysis may often confuse the clinician who is unaware of such an entity