Published in:
Open Access
01-12-2018 | Case report
Autosomal dominant polycystic kidney disease and minimal trauma: medical review and case report
Authors:
Karim Hajjar, Ralphe Bou Chebl, Mohammad Kanso, Gilbert Abou Dagher
Published in:
BMC Emergency Medicine
|
Issue 1/2018
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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.