11 August 2026
: Case report 
Dialysis-Associated Acquired Cystic Kidney Disease as a Cause of Progressive Renal Hemorrhage in a Patient Receiving Hemodialysis: A Case Report
Management of emergency care
Xiao Huang ABEF 1, Meihan Chen BDFG 1, Dayong Hu ACDG 1*DOI: 10.12659/AJCR.953308
Am J Case Rep 2026; 27:e953308
Figure 1 A 68-year-old man with dialysis-associated acquired cystic kidney disease presented with spontaneous intracystic hemorrhage. (A) Computerized tomography (CT) of the abdomen showed a large right perirenal hematoma with a fluid-hematocrit level. (B) CT of the abdomen was re-examined, showing the volume of the subcapsular hematoma on the right side increased. (C) Digital subtraction angiography showed multiple irregular patchy areas of contrast extravasation at the distal end of the right renal artery. (D) Cystic lesions and blood clots were observed at the site of renal rupture. (E) Glomerulosclerosis and tubular dilatation were observed in the renal parenchyma surrounding the ruptured hematoma.