Duodenal Obstruction in Polycystic Kidney Disease

Fried, Linda F.; Palevsky, Paul M.; Johnston, James R.

doi:10.1159/000013357

Cited by 6 publications

(4 citation statements)

References 5 publications

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“…By age 50 the kidneys can be enormous, reaching up to 40 cm in length and 8 kg in weight (1). In spite of the large size of the kidneys, obstruction of surrounding organs has rarely been reported (2). Diverticulosis of the colon is generally recognized as a commonextrarenal manifestation of ADPKD (3).…”

Section: Discussionmentioning

confidence: 99%

Intestinal Obstruction in Autosomal Dominant Polycystic Kidney Disease.

et al. 2002

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A 42-year-old womanwith autosomal dominant polycystic kidney disease (ADPKD) was admitted to our hospital on April 29, 1999, with complaints of abdominal pain. A diagnosis of intestinal obstruction wasreached on the basis of clinical findings and X-ray evidence. A computed tomography scan of the abdomenshowed massively enlarged kidneys, especially the right kidney, which seemed to compress the small intestine. The patient underwent percutaneous aspiration of the largest cysts on the surface of the right kidney. The symptoms, in this rare case of intestinal obstruction by an enlarged kidney in ADPKD, were alleviated the day after the aspiration procedure. (Internal Medicine 41: 441-444, 2002)

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Section: Discussionmentioning

confidence: 99%

Intestinal Obstruction in Autosomal Dominant Polycystic Kidney Disease.

et al. 2002

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“…Furthermore, liver cysts may lead to hepatic vein outflow obstruction and Budd-Chiari syndrome with portal hypertension and ascites [ 6 ]. Other GI complications observed in advanced stages of ADPKD comprise increased stomach and duodenal pressure with pyrosis due to enlarged kidney size, early satiety, anorexia, and weight loss with nutritional deficiencies [ 7 , 8 ].…”

Section: Discussionmentioning

confidence: 99%

Incoercible Vomiting in a Polycystic (ADPKD) Patient on Peritoneal Dialysis

Vion

Barrios

Yagüe

et al. 2021

Case Rep Nephrol Dial

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Although gastrointestinal symptoms are not uncommon in PD patients due to several causes, such as infusion volume with early satiety, constipation, or peritonitis, sometimes the differential diagnosis is more challenging for nephrologists. We present the case of a woman with end-stage renal disease due to autosomal dominant polycystic kidney disease on PD who presented with swollen legs and incoercible vomiting. After ruling out constipation and infection, an abdominal CT was done, revealing extrinsic compression of the intrahepatic inferior cava vein (ICV) and massive venous thrombosis from ICV to bilateral iliofemoral deep veins. In addition, CT also showed displacement and extrinsic compression of the stomach, pylorus, and duodenum due to an enlarged liver cyst. Percutaneous drainage and sclerosis of the cyst compressing the stomach was performed, anticoagulation was started, and the patient clinically improved with complete resolution of symptoms.

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“…Two case reports describe acute intestinal occlusion;[67] one described occlusion of the duodenum and the other of the small intestine. However, in the current case, the occlusion occurred in the terminal ileum.…”

Section: Discussionmentioning

confidence: 99%