Abstract
Letter to the editor: spontaneous renal haemorrhage in end-stage renal disease.
Highlights
In patients with chronic kidney failure, spontaneous renal haemorrhage (SRH) is not exceptional and most usually associated with acquired cystic kidney disease (ACKD)
At our hospital, where approximately 130 people receive regular haemodialysis, after excluding occurrences secondary to hereditary polycystic kidney and those attributed to excessive therapeutic anticoagulation, we collected seven such cases in end-stage renal disease (ESRD) over the last 8 years
Follow-up computed tomography (CT) (f) confirmed the Amplatzer plug in site and stopped haemorrhage associated functional platelet abnormalities probably act as contributing factors [9,10,11]
Summary
In patients with chronic kidney failure, SRH is not exceptional and most usually associated with ACKD. Timely diagnosis: according to a recent retrospective study, in the haemodialysis population, the main causes of acute abdomen pain are spontaneous intra-abdominal haemorrhage (21.2 % of patients) and non-occlusive mesenteric ischemia (18.1 %) in descending order of frequency. Non-traumatic bleeding involving the intra-abdominal organs, retroperitoneum or muscles is significantly more common in ESRD than in the general population, invariably associated with haemodialysis rather than with peritoneal dialysis (PD), and is potentially fatal.
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