Autosomal dominant polycystic kidney disease (PKD) is the most prevalent hereditary disorder in this country and a common cause of chronic renal failure. Patients frequently present with hematuria as the initial manifestation of PKD. We describe a patient with gross hematuria after blunt trauma who was found to have previously undiagnosed PKD. We review present diagnostic and treatment modalities and suggest potential management strategies for surgeons caring for patients presenting with traumatic hematuria and PKD.
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References
1.
PetersonNE.Current management of acute renal trauma. In: RousSN, ed. Urology Annual.Norwalk, CT: Appleton and Lange, 1991, pp 151–79.
2.
GabowPA, JohnsonAM, KaehnyWD, . Factors affecting the progression of renal disease in autosomal dominant polycystic kidney disease.Kidney Int1992;41:1311–9.
IglesiasCG, TorresVE, OffordKP, . Epidemiology of adult polycystic kidney disease, Olmsted County, Minnesota: 1935–1980.Am J Kidney Dis1983;2:630–9.
5.
ReedersST, BreuningMH, DaviesKE, . A highly polymorphic DNA marker linked to adult polycystic kidney disease.N Engl J Med1985;317:542–4.
6.
KimberlingWJ, KumarS, GabowPA, . Autosomal dominant polycystic kidney disease: Localization of the second gene to chromosome 4q13–q23.Genomics1993;18:467–72.
7.
FickGM, GabowPA.Natural history of autosomal dominant polycystic kidney disease.Ann Rev Med1994;45:23–9.
ZweettlerU, ZeierM, AndrassyK, . Treatment of gross hematuria in autosomal dominant polycystic kidney disease with aprotinin and desmopressin acetate (Letter).Nephron1992;60:374.
25.
HarleyJD, ShenFH, CarterSJ.Transcatheter infarction of a polycystic kidney for control of recurrent hemorrhage.Am J Roentgenol1980;134:818–20.
