Giant polycystic kidney and acute abdomen in chronic renal failure

Arruda, Pedro Francisco Ferraz de; Spessoto, Luis Cesar Fava; Godoy, Moacir Fernandes de; Godoy, José María Pereira de

doi:10.4103/0974-7796.75859

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2014

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“…Most ADPKD cases on haemodialysis develop renal enlargement with risk of bleeding in cysts, which can be managed by angioembolisation [6.]. Giant bilateral polycystic kidneys can also result in intestinal obstruction with acute abdomen, requiring nephrectomy [7]. …”

Section: Discussionmentioning

confidence: 99%

ecancermedicalscience

Bhatty

Moazin²,

Haque³

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We present a case of huge bilateral polycystic kidneys, with suspicion of malignancy and repeated admissions with acute abdomen, secondary to bleeding in cysts, and anaemia, requiring affected side nephrectomy.Key messageAutosomal dominant polycystic kidney disease (ADPKD) mostly ends up with end stage renal disease (ESRD), requiring haemodialysis, with increased risk of malignancy and enlargement of kidneys with its associated complications, mostly dealt with conservatively, except malignancy, which requires nephrectomy.

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Section: Discussionmentioning

confidence: 99%

ecancermedicalscience

Bhatty

Moazin²,

Haque³

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An unusual association of autosomal polycystic kidney disease and multiple myeloma

Mandal

Ganguly²,

Mondal³

et al. 2014

BMJ Case Reports

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Autosomal dominant polycystic kidney disease (ADPKD) is well known for its different renal and extrarenal complications. Chronic renal failure (CRF) from ADPKD is also reported in older patients. On the other hand, multiple myeloma (MM) can also cause renal damage by different mechanisms. A 38-year-old man presented with dull aching abdominal pain, recent onset respiratory distress along with bilateral pedal swelling. Initial investigations revealed polycystic kidney disease but subsequently it was found that the patient was also suffering from MM. This rare association of ADPKD and MM was responsible for aggravating the renal damage and perhaps resulted in early age of presentation with CRF. The patient was managed symptomatically but unfortunately succumbed before starting specific treatment for MM.

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Giant polycystic kidney and acute abdomen in chronic renal failure

Cited by 2 publications

References 6 publications

ecancermedicalscience

ecancermedicalscience

An unusual association of autosomal polycystic kidney disease and multiple myeloma

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