Traumatic hematuria in patients with polycystic kidney disease

Autosomal dominant polycystic kidney disease (PKD) is the most prevalent he reditary disorder in this country and a common cause of chronic renal failu re. Patients frequently present with hematuria as the initial manifestation of PKD. We describe a patient with gross hematuria after blunt trauma who was found to have previously undiagnosed PKD. We review present diagnostic and treatment modalities and suggest potential management strategies for su rgeons caring for patients presenting with traumatic hematuria and PKD.