ADPKD Cyst Haemorrhage — RACP Adult Medicine MCQ

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ModerateNephrologyADPKD Cyst HaemorrhageRACP Adult Medicine

A 50-year-old man with ADPKD develops sudden flank pain, macroscopic haematuria, and Hb drop of 45 g/L. CT shows retroperitoneal haematoma. What has occurred?

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Correct answer: D — Cyst haemorrhage or rupture

Spontaneous cyst haemorrhage/rupture is common in ADPKD. Usually conservative management but CTA needed to exclude active arterial bleeding.

Reference: eTG – 2025 – Nephrology; KDIGO – 2024