# Spontaneous Forearm Hemorrhage in a Patient With Polycystic Kidney Disease: A Case Report

## TL;DR

A 73-year-old woman with polycystic kidney disease experienced a rare forearm hemorrhage, requiring surgical intervention.

## Contribution

This case report highlights a rare complication of spontaneous forearm hemorrhage in a patient with polycystic kidney disease.

## Key findings

- The patient had a history of brain hemorrhage and progressive renal failure requiring hemodialysis.
- She developed a rare forearm hemorrhage, which was managed with hemostatic surgery.
- The case emphasizes the need for vigilance in managing comorbidities in polycystic kidney disease patients.

## Abstract

The patient is a 73-year-old woman. She had a brain hemorrhage at 53 years of age and underwent craniotomy and hematoma removal. At 55 years of age, she was treated for multiple renal cysts. An infection has spread to the existing renal cyst. The patient’s renal function gradually deteriorated, and she underwent hemodialysis at 56 years of age. At 58 years of age, an internal shunt was created using an autologous blood vessel in the left elbow fossa. Thereafter, she was hospitalized six times because of a cyst infection and received antibiotic treatment. At 72 years of age, she experienced a brain hemorrhage and received conservative treatment at our hospital. Presently, she presented with swelling in the left forearm. Upon further examination, bleeding was found in the left forearm muscles. Hemostatic surgery was performed under general anesthesia. Here, we report a rare case of forearm hemorrhage in a patient with comorbid cystic kidney disease.