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Autosomal dominant polycystic kidney disease and minimal trauma: medical review and case report.

ABSTRACT:

Background

Blunt abdominal trauma in the setting of polycystic kidney disease is still scantly described in the literature and management guidelines of such patients are not well-established.

Case presentation

The authors herein present a case of hypovolemic shock secondary to segmental renal artery bleed in a 75-year-old man with polycystic kidney disease after minimal blunt abdominal trauma, who underwent successful selective arterial embolization, and provide a thorough review of similar cases in the literature, while shedding the light on important considerations when dealing with such patients.

Conclusions

It is important to suspect renal injury in patients with pre-existing renal lesions irrespective of the mechanism of injury; and, vice-versa to suspect an underlying abnormality in patients with a clinical deterioration that's out of proportion to the mechanism of injury.

SUBMITTER: Hajjar K

PROVIDER: S-EPMC6211544 | biostudies-literature | 2018 Nov

REPOSITORIES: biostudies-literature

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Autosomal dominant polycystic kidney disease and minimal trauma: medical review and case report.

Hajjar Karim K Bou Chebl Ralphe R Kanso Mohammad M Abou Dagher Gilbert G

BMC emergency medicine 20181101 1

<h4>Background</h4>Blunt abdominal trauma in the setting of polycystic kidney disease is still scantly described in the literature and management guidelines of such patients are not well-established.<h4>Case presentation</h4>The authors herein present a case of hypovolemic shock secondary to segmental renal artery bleed in a 75-year-old man with polycystic kidney disease after minimal blunt abdominal trauma, who underwent successful selective arterial embolization, and provide a thorough review ...[more]

PMID: 30384834

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