title: Autosomal dominant polycystic kidney disease showing rupture of a lateral ventral hernia following paralytic ileus.
abstract: We report an 83-year-old Japanese male with autosomal dominant polycystic kidney disease (ADPKD), which was marked by unusually enlarged kidneys, and in whom ileus occurred after administration of procainamide. The bowels became swollen and ruptured the skin and appeared on the outside of the skin. Even after the ileus state was resolved, the projected intestinal tract was not restored due to a large defect of the skin, and ostomy was performed. Abdominal hernia including lateral ventral hernia due to enlarged kidneys may result in perforation of the abdominal wall as well as intestinal wall.
authors.affiliation: Nephrology Center, Toranomon Hospital, Tokyo.
authors.forename: Takashi
authors.initials: T
authors.lastname: Kato
authors.forename: Yoshifumi
authors.initials: Y
authors.lastname: Ubara
authors.forename: Tetsuo
authors.initials: T
authors.lastname: Tagami
authors.forename: Naoki
authors.initials: N
authors.lastname: Sawa
authors.forename: Junichi
authors.initials: J
authors.lastname: Hoshino
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Suwabe
authors.forename: Takaaki
authors.initials: T
authors.lastname: Yamagata
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Katori
authors.forename: Fumi
authors.initials: F
authors.lastname: Takemoto
authors.forename: Shigeko
authors.initials: S
authors.lastname: Hara
authors.forename: Shuichirou
authors.initials: S
authors.lastname: Matoba
authors.forename: Kenmei
authors.initials: K
authors.lastname: Takaichi
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000889:Anti-Arrhythmia Agents / Q000009:adverse effects / Q000627:therapeutic use; D001281:Atrial Fibrillation / Q000150:complications / Q000188:drug therapy; D017809:Fatal Outcome; D006555:Hernia, Ventral / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007418:Intestinal Pseudo-Obstruction / Q000139:chemically induced / Q000150:complications*; D007668:Kidney / Q000000981:diagnostic imaging / Q000473:pathology*; D008279:Magnetic Resonance Imaging; D008297:Male; D016891:Polycystic Kidney, Autosomal Dominant / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D011342:Procainamide / Q000009:adverse effects / Q000627:therapeutic use; D011859:Radiography; D006435:Renal Dialysis / Q000009:adverse effects; D012422:Rupture, Spontaneous; D014463:Ultrasonography
chemical_list: D000889:Anti-Arrhythmia Agents; D011342:Procainamide