Spontaneous retroperitoneal hemorrhage presenting as hemoperitoneum secondary to renal cyst rupture in a peritoneal dialysis patient with acquired cystic kidney disease

Z Biyik; Y Solak; A Gaipov; O Ozbek; H Esen; S Turk

doi:10.4103/0971-4065.147371

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CASE REPORT

Year : 2015 | Volume : 25 | Issue : 4 | Page : 251-254

Spontaneous retroperitoneal hemorrhage presenting as hemoperitoneum secondary to renal cyst rupture in a peritoneal dialysis patient with acquired cystic kidney disease

Z Biyik¹, Y Solak², A Gaipov³, O Ozbek⁴, H Esen⁵, S Turk¹
¹ Department of Internal Medicine, Division of Nephrology, Selcuk University, Meram School of Medicine, Selcuk, Turkey
² Department of Internal Medicine, Division of Nephrology, Selcuk University, Meram School of Medicine, Selcuk; Department of Internal Medicine, Nephrology Clinic, Sakarya University, Research and Training Hospital, Sakarya, Turkey
³ Department of Internal Medicine, Division of Nephrology, Selcuk University, Meram School of Medicine, Selcuk, Turkey; Department of Extracorporeal Hemocorrection, National Scientific Medical Research Center, Astana, Kazakhstan
⁴ Department of Radiology, Selcuk University, Meram School of Medicine, Selcuk, Turkey
⁵ Department of Pathology, Selcuk University, Meram School of Medicine, Selcuk, Turkey

Correspondence Address:
A Gaipov
Department of Extracorporeal Hemocorrection, National Scientific Medical Research Center, 010009, Av. Abylay-khan No 42, Astana, Kazakhstan

Source of Support: None, Conflict of Interest: None

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DOI: 10.4103/0971-4065.147371

Spontaneous retroperitoneal hemorrhage (SRH) is a rare and potentially fatal condition. Acquired cystic kidney disease (ACKD) may cause SRH in hemodialysis patients. However, presentation of retroperitoneal hematoma as hemoperitoneum in peritoneal dialysis (PD) patients is exceedingly rare. We report a 44-year-old male PD patient who presented with hemoperitoneum secondary to retroperitoneal hematoma. The reason of SRH was rupture of the cysts of ACKD. The patient underwent unilateral nephrectomy with subsequent disappearance of hemoperitoneum. The importance of this case lies in the fact that the patients who have been receiving dialysis for a long time should be under surveillance in terms of ACKD development and potential associated complications such as cyst hemorrhage and malignancy.

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