# Spontaneous Retroperitoneal Hemorrhage Treated With Transcatheter Arterial Embolization in a Patient With Acquired Cystic Kidney Disease: A Case Report

## TL;DR

A patient with kidney disease experienced a rare abdominal bleed and was successfully treated with a minimally invasive procedure.

## Contribution

This case highlights the effectiveness of early embolization in managing retroperitoneal hemorrhage in stable patients with kidney disease.

## Key findings

- Conservative treatment was initially used but failed to control the bleeding.
- Transcatheter arterial embolization successfully managed the hemorrhage on the second day of admission.
- Early embolization is recommended even in hemodynamically stable patients with acquired cystic kidney disease.

## Abstract

Spontaneous retroperitoneal hemorrhage is a rare condition with a poor prognosis. It is usually treated conservatively unless vital signs are unstable. We report a case of a 60-year-old male patient with acquired cystic kidney disease who presented to ED due to continuous left lower abdominal pain. His vital signs were normal, and a physical examination revealed tenderness in the lower left abdomen. CT revealed a hematoma with extravasation around the left kidney. He was treated conservatively due to stable vital signs and laboratory data. However, a decrease in the hemoglobin level and an increase in hematoma were observed, and blood transfusion and transcatheter arterial embolization were performed on the second day of admission. In such cases, early embolization should be considered even when the patient's general condition is stable.