Madeleidis Lopez Leon¹, Sahar S. Abdelmoneim^1,, Milenis Lopez Leon¹, Sandy Espinosa Hernandez¹, Mohsin M. Idrees¹, Francisco Lopez Bermudez¹, Lazaro U. Suarez Ross¹, Rishbha Dua¹, Odalys Frontela¹

Hematuria occurrence in autosomal dominant polycystic kidney disease (ADPKD) is common and can be a manifestation of cyst bleeding. Patients with ADPKD who receive kidney transplantation can present with recurrent hematuria. Malignancy, urinary tract infections, calculus obstruction or any recent diagnostic or interventional procedures can all manifest with hematuria. Knowledge of the precipitating factors and clinical presentation in those patients will help practicing internists in performing an appropriate evaluation and management of these entities and their complications, as well as execute a timely referral to subspecialists for native kidney nephrectomies when indicated. We herein, present a case of 72-years-old female, with APKD who received kidney transplantation 14 years ago, presenting with repeated hospital admissions with flank pain and recurrent hematuria. She had experienced multiple admissions with hematuria, most likely caused by native kidney recurrent cyst bleedings.

hematuria, polycystic and renal transplantation