常染色体显性多囊肾病与轻微创伤：医学综述及病例报告
Autosomal dominant polycystic kidney disease and minimal trauma: medical review and case report.
作者信息
Hajjar Karim, Bou Chebl Ralphe, Kanso Mohammad, Abou Dagher Gilbert
机构信息
Department of Emergency Medicine, American University of Beirut Medical Center, P.O. Box 11-0236, Riad El-Solh, Beirut, 1107 2020, Lebanon.
出版信息
BMC Emerg Med. 2018 Nov 1;18(1):38. doi: 10.1186/s12873-018-0192-3.
BACKGROUND
Blunt abdominal trauma in the setting of polycystic kidney disease is still scantly described in the literature and management guidelines of such patients are not well-established.
CASE PRESENTATION
The authors herein present a case of hypovolemic shock secondary to segmental renal artery bleed in a 75-year-old man with polycystic kidney disease after minimal blunt abdominal trauma, who underwent successful selective arterial embolization, and provide a thorough review of similar cases in the literature, while shedding the light on important considerations when dealing with such patients.
CONCLUSIONS
It is important to suspect renal injury in patients with pre-existing renal lesions irrespective of the mechanism of injury; and, vice-versa to suspect an underlying abnormality in patients with a clinical deterioration that's out of proportion to the mechanism of injury.
背景
多囊肾病患者钝性腹部创伤在文献中仍鲜有描述，此类患者的管理指南也尚未完善。
病例报告
本文作者介绍了一例75岁多囊肾病男性在轻微钝性腹部创伤后发生节段性肾动脉出血继发低血容量性休克的病例，该患者接受了成功的选择性动脉栓塞治疗，并对文献中类似病例进行了全面回顾，同时阐明了处理此类患者时的重要注意事项。
结论
对于有肾脏病变的患者，无论损伤机制如何，都应怀疑有肾损伤；反之，对于临床病情恶化与损伤机制不成比例的患者，应怀疑存在潜在异常。
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