Spontaneous Retroperitoneal Hemorrhage in a Patient with Acquired Cystic Kidney Disease

Main Article Content

Ahmed Kotb http://orcid.org/0000-0002-1484-1332
Asmaa Ismail
Hazem Elmansy
Owen Prowse
Walid Shahrour

Keywords

hemodialysis, lumbotomy, retroperitoneal hemorrhage

Abstract

Spontaneous retroperitoneal hemorrhage (SRH) is a rare emergency. It is usually encountered in patients on hemodialysis and is associated with high rate of morbidity and mortality. This is a case from the emergency department. The patient had unstable vitals with SRH following dialysis. Immediate exploration and nephrectomy using transverse lateral lumbotomy incision were done. Patients on hemodialysis are at a risk of SRH and frequent surveillance is recommended. Acquired cystic kidney disease (ACKD) can develop in hemodialysis patients and put them at risk for bleeding. Transverse lateral lumbotomy may be a safe option for direct access to the kidney in emergency kidney surgery.

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