Autosomal dominant polycystic kidney disease showing rupture of a lateral ventral hernia following paralytic ileus.
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.
Kato
Takashi
T
Nephrology Center, Toranomon Hospital, Tokyo.
Ubara
Yoshifumi
Y
Tagami
Tetsuo
T
Sawa
Naoki
N
Hoshino
Junichi
J
Suwabe
Tatsuya
T
Yamagata
Takaaki
T
Katori
Hideyuki
H
Takemoto
Fumi
F
Hara
Shigeko
S
Matoba
Shuichirou
S
Takaichi
Kenmei
K
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
D000889:Anti-Arrhythmia Agents; D011342:Procainamide