Traumatic Blunt Injury in Polycystic Kidney Disease: An Unfortunate Event

  • Lai Zen Ran Dexter
  • Baithma Jothi Dinesh
  • Sandrasecra Sanjeev
  • Chin Chuan Ooi
  • Firdaus Hayati
Keywords: Trauma, polycystic kidney disease, nephrectomy


Polycystic kidney disease is not a common genetic disorder. Unlike kidneys of a healthy individual, they are well protected by abdominal wall and other visceral organs. Pathological kidneys especially those with organomegaly are predisposed to trauma, even in trivial injury. The management of such cases is still controversial. In this case report, we highlight a middle aged man who was diagnosed with polycystic kidney disease only after he sustained a blunt kidney injury. His condition was unstable requiring emergency left nephrectomy.

Author Biographies

Lai Zen Ran Dexter
1. Department of Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre 2. Department of Surgery, Queen Elizabeth Hospital 1
Baithma Jothi Dinesh
Department of Surgery, Queen Elizabeth Hospital 1
Sandrasecra Sanjeev
Department of Surgery, Queen Elizabeth Hospital 1
Chin Chuan Ooi
Urology Unit, Department of Surgery, Queen Elizabeth Hospital 1
Firdaus Hayati
Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah


Cheng CI, Karvelas NB, Aronowitz P. Retroperitoneal cyst hemorrhage in polycystic kidney disease. Cleveland Clinic Journal of Medicine. 2015; 82: 20-1.

Torres VE, Harris PC, Pirson Y. Autosomal dominant polycystic kidney disease. Lancet. 2007; 369: 1287-301.

Gildenhuys NJ, Van Der Merwe A. Autosomal dominant polycystic kidney disease, incidental finding with trauma: Case report and review of literature. African Journal of Urology. 2017; 23: 78-85.

Wani I, Kirmani O. Traumatic intracystic hemorrhage in polycystic kidney. Journal of Case Reports in Practice (JCRP). 2013; 2: 47-8.

Joshi A, Sankhe A, Bhatt S, Marchant S, Bava JS. Haematuria in autosomal polycystic kidney disease: Role of multislice CT scan. Bombay Hospital Journal. 2004.

Savatmongkorngul S, Wongwaisayawan S, Kaewlai R. Focused assessment with sonography for trauma: current perspectives. Open Access Emerg Med. 2017; 9: 57-62

Soroka S, Alam A, Bevilacqua M, et al. Assessing risk of disease progression and pharmacological management of autosomal dominant polycystic kidney disease: A Canadian Expert Consensus. Canadian Journal of Kidney Health and Disease. 2017; 4: 1–12

Spithoven EM, Kramer A, Meijer E. Renal replacement therapy for autosomal dominant polycystic kidney disease (ADPKD) in Europe: prevalence and survival - an analysis of data from the ERA-EDTA Registry. Nephrology Dialysis Transplantation. 2014; 29:iv15–iv25