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Portuguese Journal of Nephrology & Hypertension

versão impressa ISSN 0872-0169

Resumo

GONCALVES, Joao et al. Partial intestinal obstruction: a rare complication of autosomal dominant polycystic kidney disease: Case report and review of the literature. Port J Nephrol Hypert [online]. 2012, vol.26, n.3, pp.207-212. ISSN 0872-0169.

Autosomal dominant polycystic kidney disease is a common disease with an estimated prevalence of 1 in 400-1000 people. It is a multisystem genetic disorder characterised by multiple bilateral kidney cysts, often accompanied by cysts in the liver and other organs. It is the cause of 5-7% of end-stage renal disease on chronic haemodialysis and can lead to various renal and extrarenal complications. We report an unusual complication of this condition that has rarely been described in the available literature - a case of partial intestinal obstruction in a 70-yearold male on chronic haemodialysis due to polycystic kidney disease, with multiple typical associated manifestations. The patient was hospitalised because of cyst haemorrhage and infection. He complained of constipation accompanied by abdominal distension and pain. Ultrasonography and computed tomography showed multiple cysts of large size and partial intestinal obstruction due to cyst compression of the bowel. This was relieved by unilateral right nephrectomy

Palavras-chave : Autosomal dominant polycystic kidney disease (ADPKD); haemodialysis; nephrectomy; partial intestinal obstruction.

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