Abstract
We report two hemodialysis patients with spontaneous renal rupture. The first case involved, a 49-year-old male on chronic hemodialysis for 13.5 years, who was referred to our hospital with sudden left abdominal pain. Computed tomography demonstrated bilateral acquired cystic disease of the kidney (ACDK), left renal rupture and perinephric hematoma. A few hours after admission, the patient was in a state of hemorrhagic shock. Since we thought it was difficult to continue conservative therapy, emergent left nephrectomy was performed. Pathological examination revealed small renal cell carcinoma. Seventy-eight months after nephrectomy, no recurrence or metastasis has been detected.
The second case involved, a 57-year-old male on chronic hemodialysis for 2 years, who was referred to our hospital with grosshematuria and right back pain. Ultrasound echography and computed tomography demonstrated right renal hemorrhage. Because his general condition was comparatively good, we decided to treat him conservatively. Twenty-four months after hemorrhage, there has not been any new hemorrhage.
We discuss spontaneous renal rupture and its treatment in hemodialysis patients.
