Giant polycystic kidney. A rare indication for nephrectomy
Abstract
A 49-year-old male patient was diagnosed with autosomal dominant polycystic kidney disease while the evaluation of urinary tract infection in 2010. He was suffering from nutritional problems due to gastro-intestinal disturbances and vomiting secondary to the pressure of the kidneys. He was also a candidate for kidney transplantation, but there was no adequate and enough space in the abdomen for the transplant kidney.
Therefore, we performed open unilateral nephrectomy to the bigger kidney. As we know there is not too many cases regarding giant polycystic kidney nephrectomy, we presented our case to make additional contribution to the current literature.
References
Halvorson CR, Bremmer MS, Jacobs SC. Polycystic kidney disease: inheritance, pathophysiology, prognosis, and treatment. Int J Nephrol Renovasc Dis. 2010;3:69-83.
Sulikowski T, Kamiński M, Rózański J, Zietek Z, Domański L, Majewski W, et al. Laparoscopic removal of renal cysts in patients with ADPKD as an alternative method of treatment and patient preparation for kidney transplantation: preliminary results. Transplant Proc. 2006;38(1):23-7.
Veroux M, Zerbo D, Basile G, Gozzo C, Sinagra N, Giaquinta A, et al. Simultaneous Native Nephrectomy and Kidney Transplantation in Patients With Autosomal Dominant Polycystic Kidney Disease. PLoS One. 2016;11(6):e0155481.
Williamson A, Paterson S, Erolin C, Sweeney C, Townell N, Nabi G. Laparoscopic nephrectomy for adult polycystic kidney disease: safety, feasibility, and early outcomes. J Endourol. 2014;28(11):1268-77.
Yucel Tekin S, Yuksel D, Yucetin L, Yavuz H A, Demirbas A. Which One Should We Perform for Native Nephrectomy in Renal Transplant Recipients with Polycystic Kidney Disease: Bilateral or Unilateral Nephrectomy? Eight Years Experience in Our Transplantation Centre. JOJ Urol Nephrol. 2017;2(3):555589.
Veroux M, Zerbo D, Palmucci S, Sinagra N, Giaquinta A, Veroux P. Simultaneous Nephrectomy and Ipsilateral Dual Kidney Transplantation in Patients With Autosomal Polycystic Kidney Disease. Transplantation. 2016;100(1):e3-4.
Fuller TF, Brennan TV, Feng S, Kang SM, Stock PG, Freise CE. End stage polycystic kidney disease: indications and timing of native nephrectomy relative to kidney transplantation. J Urol. 2005;174(6):2284-8.
Glassman DT, Nipkow L, Bartlett ST, Jacobs SC. Bilateral nephrectomy with concomitant renal graft transplantation for autosomal dominant polycystic kidney disease. J Urol. 2000;164(3 Pt 1):661-4.
Kirkman MA, van Dellen D, Mehra S, Campbell BA, Tavakoli A, Pararajasingam R, et al. Native nephrectomy for autosomal dominant polycystic kidney disease: before or after kidney transplantation? BJU Int. 2011;108(4):590-4.
Desai PJ, Castle EP, Daley SM, Swanson SK, Ferrigni RG, Humphreys MR, et al. Bilateral laparoscopic nephrectomy for significantly enlarged polycystic kidneys: a technique to optimize outcome in the largest of specimens. BJU Int. 2008;101(8):1019-23.
Ferraz Arruda PF, Spessoto LC, Godoy MF, Pereira de Godoy JM. Giant polycystic kidney and acute abdomen in chronic renal failure. Urol Ann. 2011;3(1):39-41.