Intraperitoneal rupture of renal cyst in autosomal dominant polycystic kidney disease
نویسندگان
چکیده
CONTEXT To report a rare case of spontaneous rupture of an infected renal cyst into the peritoneal cavity. CASE REPORT We report a case of 66-year old man with autosomal dominant polycystic kidney disease and kidney dialysis who had suffered from intestinal obstruction and peritoneal syndrome for 2 days associated with purulent urine. An exploratory laparotomy found multiple hepatic cysts and bilaterally enlarged polycystic kidneys. We noted left renal cyst infected and ruptured into the peritoneal cavity causing general peritonitis. The patient died from septic shock and hemodynamic failure. CONCLUSION The peritoneal rupture of infected renal cyst is an exceptional and serious complication of polycystic kidney disease. Medical and surgical treatments are urgent to prevent lethal complications.
منابع مشابه
Large Retroperitoneal Haemorrhage Following Cyst Rupture in a Patient with Autosomal Dominant Polycystic Kidney Disease
The complications of autosomal dominant polycystic kidney disease (ADPKD) include cyst rupture and haemorrhage leading to loin pain and frank haematuria. Risk factors include large kidney volume, hypertension, and renal impairment. We present a case of a young male who, following trauma to the kidney, had a life threatening bleed from his polycystic kidney. The case was initially treated with f...
متن کاملAcute abdomen and hemorrhagic shock caused by spontaneous rupture of renal cyst in autosomal dominant polycystic kidney disease.
Autosomal dominant polycystic kidney disease is an important cause of end stage renal failure. Rarely, these patients may present with hemorrhagic shock caused by rupture of the renal cyst. The aim of this study was to report a rare case of a patient who arrived at the emergency department with autosomal dominant polycystic kidney disease presenting with acute abdominal pain and hemorrhagic sho...
متن کاملRupture in Polycystic Kidney Disease Presented as Generalized Peritonitis with Severe Sepsis: A Rare Case Report
Recurrent upper urinary tract (renal) infections have been reported to be frequent in patients with autosomal dominant polycystic kidney disease and often difficult to treat. Female preference and enteric organism predominance suggest that these renal infections are acquired to retrograde from the lower urinary tract. We encountered a rare case of bilateral polycystic kidneys with spontaneous i...
متن کاملRuptured giant liver cyst: a rare cause of acute abdomen in a haemodialysis patient with autosomal dominant polycystic kidney disease.
Autosomal dominant polycystic kidney disease (ADPKD) is a common hereditary disorder. Although liver involvement is the most frequent extra-renal manifestation, serious complications due to liver cysts are very rare. We report the occurrence of an acute abdomen caused by massive haemoperitoneum resulting from rupture of a giant liver cyst in ADPKD. Data suggest that chronic anticoagulation ther...
متن کاملFasting in a 16-year-old girl at-risk of autosomal dominant polycystic kidney disease
Autosomal dominant polycystic kidney disease (ADPKD) is the most common form of inherited kidney disease that results in renal failure. PKD currently has no causative therapy. However, some treatment options are available, ranging from symptomatic therapy to delaying the onset of end-stage renal failure. Early diagnosis of adult polycystic kidney disease is vital in order to prevent its complic...
متن کامل