ArticleThe American journal of case reports2026
Dialysis-Associated Acquired Cystic Kidney Disease as a Cause of Progressive Renal Hemorrhage in a Patient Receiving Hemodialysis: A Case Report.
Article in The American journal of case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
BACKGROUND Acquired cystic kidney disease is a known complication in patients receiving hemodialysis and one cause of spontaneous hemorrhage. Spontaneous hemorrhage of acquired cystic kidney disease in patients receiving hemodialysis was previously described as a rare condition with a poor prognosis. This report describes the case of a 68-year-old man with dialysis-associated acquired cystic kidney disease presenting with spontaneous intracystic hemorrhage. CASE REPORT A 68-year-old man on maintenance hemodialysis for 2 years presented with right lower abdominal and lumbar pain 5 hours after hemodialysis. Physical examination revealed percussion tenderness over the right renal region. The patient had normal coagulation functions and used low-molecular-weight heparin for anticoagulation during hemodialysis. Both the conservative management and artery embolization with digital subtraction angiography were unsuccessful. Dynamic monitoring of hemoglobin concentration indicated a downward trend. Computed tomography of the abdomen revealed progressive enlargement of the hematoma. Subsequently, the patient underwent a right nephrectomy. Postoperative gross pathological finding verified spontaneous hemorrhage caused by rupture of dialysis-associated acquired cystic kidney disease. Postoperatively, the level of hemoglobin remained stable. CONCLUSIONS This case with spontaneous hemorrhage of dialysis-associated acquired cystic kidney disease highlights the need for surveillance in patients receiving hemodialysis. Prompt surgical intervention is beneficial for patients with dialysis-associated acquired cystic kidney disease presenting with spontaneous hemorrhage and a persistent decline of hemoglobin.
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