Hajjar K, Bou Chebl R, Kanso M, Abou Dagher G. Autosomal dominant polycystic kidney disease and minimal trauma: medical review and case report.
BMC Emerg Med 2018;
18:38. [PMID:
30384834 PMCID:
PMC6211544 DOI:
10.1186/s12873-018-0192-3]
[Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2018] [Accepted: 10/23/2018] [Indexed: 12/03/2022] Open
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.
Electronic supplementary material
The online version of this article (10.1186/s12873-018-0192-3) contains supplementary material, which is available to authorized users.
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