Table 1 Summary of cases of trauma to patients with polycystic kidney disease found in the literature
From: Autosomal dominant polycystic kidney disease and minimal trauma: medical review and case report
Authors | Age | Sex | Mechanism of injury | Presentation | CT abdomen findings | Treatment |
|---|---|---|---|---|---|---|
Pandyan et al. [40] | 55 | F | Seatbelt contact during airplane rapid deceleration | Bilateral Flank pain + increased abdominal girth + gross hematuria | NR | Expectant |
Gildenhuys et al. [23] | 28 | M | Assault by a brick | Flank pain + gross hematuria | Ruptured cyst | Bed rest and observation |
Kim et al. [41] | 39 | F | Shock-wave lithotripsy | Shock | Ruptured cyst with peri-renal hematoma | Supportive care then nephrectomy |
Klein et al. [31] | 40 | M | Assault by a baseball bat | Gross hematuria | Possible hemorrhagic cysts | Expectant |
Leslie et al. [20] | 22 | M | Motor Vehicle Accident | Flank pain then abdominal pain + tachycardia | Bilateral ruptured hemorrhagic cysts | Bilateral nephrectomies |
Mabillard et al. [24] | 25 | M | Rugby/contact sport injury | Flank pain + gross hematuria | Ruptured cyst + retroperitoneal hemorrhage | Embolization of lower polar segmental branch of renal artery |
Mufarrij et al. [32] | 77 | M | Vigorous massage chair session | Right lower quadrant pain + right-sided hip pain then 2 syncopal episodes | Cystic hemorrhage and rupture | Expectant + blood transfusions |
Nash et al. [21] | 58 | F | Motor Vehicle Accident | Gross hematuria + distended abdomen then hypovolemic shock | Ruptured cyst in right kidney + multiple hemorrhagic cysts in left kidney | Bilateral nephrectomies |
Reay et al. [42] | 20 | M | Fall from a horse with elbow flexed into flank | Gross hematuria | Renal injury into pelvicalyceal system and perinephric hematoma | Coil embolization of bleeding renal artery and pseudo aneurysm |
Rhyner et al. [43] | NR | NR | Unknown | Unknown | Intracystic + retroperitoneal hemorrhage | Unknown |
Wani et al. [33] | 56 | M | Hit by a thick rope on the flank | Flank pain + gross hematuria | Intracystic hemorrhage | Expectant |
Zaslau et al. [44] | 29 | M | Blunt trauma to flank from ladder Fall of 8Â ft in height | Flank pain + drop in hematocrit | Retroperitoneal hematoma and fluid + ruptured cyst | Nephrectomy |