[Autosomal dominant polycystic kidney disease. Case report of a 20 kg polycystic kidney].
Polycystic kidneys can reach huge dimensions as a result of their continuous growth and thus lead to a "mechanical problem." We report on a 69-year-old patient with enormous polycystic kidneys having been treated for 4 years with standard hemodialysis. In the last 12 months, the patient was suffering from a deterioration of his condition and progressively developed cachexy. The preoperative status of the multi-morbid patient jeopardized operability. It was decided to perform bilateral nephrectomy with a Chevron incision on the right side. The right kidney weighed 11 kg, the left 9 kg. There were no postoperative problems. The massive relief resulted in an impressive improvement of this risk-patient's fitness and quality of life. There is a clear indication of unilateral nephrectomy in case of a renal transplantation. The role and necessity of a bilateral nephrectomy in the event of polycystic kidneys is discussed based on the respective literature.
Abteilung Urologie, Kantonsspital Schaffhausen, 8208 Schaffhausen.
T
T
Leippold
D
D
Pestalozzi
H J
HJ
Gloor
J L
JL
Fehr
D000368:Aged; D006801:Humans; D007668:Kidney / Q000473:pathology*; D008297:Male; D009392:Nephrectomy; D009929:Organ Size / Q000502:physiology; D016891:Polycystic Kidney, Autosomal Dominant / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D011788:Quality of Life; D014057:Tomography, X-Ray Computed