Haemoperitoneum originating in renal cyst in a patient with ADPKD not treated by dialysis.

In August 1998, he was admitted at the emergency Intracystic haemorrhage is a frequent feature in department with a diffusely painful abdomen which patients affected by autosomal dominant polycystic was tender and slightly tense. He had no fever but kidney disease (ADPKD). Its clinical manifestations microscopic haematuria. Serum CRP was normal, creaare protean. They include gross haematuria which may tinine was 4 mg/dl and creatinine clearance 20 ml/min. occur at any time in 30–50% of cases, abdominal and Haemoglobin had decreased from 13.5 to 10.9 g/dl. flank pain (50–60% of cases), renal colic and perirenal Ultrasonography demonstrated a giant cyst of the haematoma [1]. Haemoperitoneum as a complication upper renal pole with intracystic echos. A CT scan of renal cyst in ADPKD has been described only twice was performed and showed massive ascites with com(one dubious case) and only in patients on peritoneal plete rupture of the upper pole cyst’s wall which floated dialysis (PD). We present here such a complication freely in the ascites (Figure 3). The length of the affecting an ADPKD patient not treated with dialysis. kidney was almost 24 cm. Hyperdensity was present in