PMC5664188_01
Computerised tomography (CT) of abdomen and left renal arteriogram and embolization of a patient with autosomal dominant polycystic kidney disease demonstrating large left renal retroperitoneal haemorrhage. Sagittal views (a and b) and (c) axial view of contrast enhanced CT abdomen showing bilateral polycystic kidneys with evidence of large volume haemorrhage which surrounds the left kidney and extends into the retroperitoneal space. Super-selective angiogram of the left renal artery lower polar segmental branch showing an extravasation into the lower polar renal cyst (d) and final, postembolization angiogram confirming satisfactory exclusion of the source of bleed (e and f).
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fig1
A CT abdomen (Figures 1(a), 1(b), and 1(c)) revealed a large left sided haemorrhage surrounding the polycystic kidney which extended into the retroperitoneum. This was treated with a blood transfusion (3 units packed red cells) and radiological embolization of the bleeding source (Figures 1(d), 1(e), and 1(f)).