title: Acute cystic rupture and hemorrhagic shock after a vigorous massage chair session in a patient with polycystic kidney disease.
abstract: Although cyst bleeding is a common complication in polycystic kidney disease (PCKD), cyst rupture is uncommon even in the setting of trauma. The risk factors, morbidity and mortality of cystic rupture in patients with PCKD are not well-established. The authors herein present a case of perinephric hemorrhage secondary to cyst rupture in a 77-year-old man with PCKD after a vigorous massage chair session and provide a thorough review of related cases in the literature.
authors.affiliation: Department of Emergency Medicine, American University of Beirut Medical Center, Riad El-Solh, Beirut, Lebanon.
authors.forename: Afif Jean
authors.initials: AJ
authors.lastname: Mufarrij
authors.forename: Eveline
authors.initials: E
authors.lastname: Hitti
mesh_terms: D000368:Aged; D003560:Cysts / Q000150:complications; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D008297:Male; D008405:Massage / Q000009:adverse effects*; D007690:Polycystic Kidney Diseases / Q000150:complications*; D012307:Risk Factors; D012421:Rupture / Q000209:etiology*; D012771:Shock, Hemorrhagic / Q000209:etiology*; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome