Quistes gigantes en la poliquistosis renal. Un indicador poco frecuente de nefrectomía

  • Murat Zor Urology Department, Gulhane Research and Training Hospital, Ankara
  • Bahadır Topuz Urology Department, Gulhane Research and Training Hospital, Ankara
  • Sami Uguz Urology Department, Gulhane Research and Training Hospital, Ankara
  • Gokhan Ozkan Gulhane Research and Training Hospital, Anesthesiology Department, Ankara
  • Selahattin Bedir Urology Department, Gulhane Research and Training Hospital, Ankara

Resumen

Se diagnosticó poliquistosis renal autosómica dominante a un paciente masculino de 49 años durante la evaluación de un cuadro de infección urinaria en 2010. El paciente padecía problemas nutricionales debido a trastornos gastrointestinales y vómitos causados por la presión de los riñones.

Asimismo, era candidato a trasplante renal, pero el espacio del abdomen no era adecuado
ni suficiente para realizar este procedimiento. Por lo tanto se realizó una nefrectomía unilateral,
en el riñón de mayor tamaño. Debido a que no se conocen muchos casos de nefrectomía en pacientes con poliquistosis renal con quistes gigantes, presentamos este para realizar un aporte a la bibliografía existente.

 

Citas

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.

Publicado
2018-10-16
Cómo citar
1.
Zor M, Topuz B, Uguz S, Ozkan G, Bedir S. Quistes gigantes en la poliquistosis renal. Un indicador poco frecuente de nefrectomía. Rev Nefrol Dial Traspl. [Internet]. 16 de octubre de 2018 [citado 29 de marzo de 2024];38(3):218-21. Disponible en: http://vps-1689312-x.dattaweb.com/index.php/rndt/article/view/360
Sección
Casuística