title: Ruptured giant liver cyst: a rare cause of acute abdomen in a haemodialysis patient with autosomal dominant polycystic kidney disease.
abstract: Autosomal dominant polycystic kidney disease (ADPKD) is a common hereditary disorder. Although liver involvement is the most frequent extra-renal manifestation, serious complications due to liver cysts are very rare. We report the occurrence of an acute abdomen caused by massive haemoperitoneum resulting from rupture of a giant liver cyst in ADPKD. Data suggest that chronic anticoagulation therapy should be avoided where possible in the presence of a giant liver cyst.
authors.affiliation: Department of Internal Medicine, Albert Schweitzer Hospital, PO Box 444, 3300 AK Dordrecht, The Netherlands.
authors.forename: R A
authors.initials: RA
authors.lastname: Carels
authors.forename: E F H
authors.initials: EF
authors.lastname: van Bommel
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology*; D000368:Aged; D003560:Cysts / Q000150:complications*; D006465:Hemoperitoneum / Q000209:etiology; D006801:Humans; D008107:Liver Diseases / Q000150:complications*; D008297:Male; D016891:Polycystic Kidney, Autosomal Dominant / Q000150:complications*; D006435:Renal Dialysis; D012422:Rupture, Spontaneous