Autosomal Dominant Polycystic Kidney Disease, incidental finding with trauma: Case report and review of the literature

Conclusion Patients with abnormal kidneys require counselling regarding increased risk of injury following blunt abdominal trauma. The decision to transfuse a patient following renal trauma to pre-existing renal lesion possibly requiring a renal transplant, should be done with consideration of the increased risk of antigen sensitization. Patients that present with signs and symptoms out of proportion with the mechanism of trauma should raise the suspicion of undiagnosed pre-existing renal lesions. In cases of blunt renal trauma with a history suggesting the possibility of a pre-existing lesion, the threshold for requesting CT of the abdomen should be lowered, even in absence of gross haematuria.
Source: African Journal of Urology - Category: Urology & Nephrology Source Type: research