title: Value of ultrasound-guided irrigation and drainage of refractory pyocysts in ADPKD.
abstract: BACKGROUND
  Cyst infections is not common in the patients with autosomal dominant polycystic kidney disease (ADPKD) however it may pose major problems to the clinicians because the diagnosis is hampered by lack of reliable imaging techniques for identification of the infected cysts and treatment may be difficult due to poor penetration of antibiotics into the cysts.
  
  
  METHODS
  We present a case of ADPKD and intractable pyocysts that did not respond to standard antibiotic therapy but successfully treated by using ultrasound-guided cyst puncture, and repeated irrigation and drainage.
  
  
  CONCLUSIONS
  Where the experienced interventional radiologists are available, this method can rescue these patients from nephrectomy.
authors.affiliation: Department of Radiology, Hasheminejad Kidney Center, School of Medicine, Iran University of Medical Sciences, Valiasr Ave, Vanak Sq, 19697, Tehran, Iran. varedip@gmail.com.
authors.forename: Daryoush
authors.initials: D
authors.lastname: Saedi
authors.forename: Peyman
authors.initials: P
authors.lastname: Varedi
authors.forename: Payam
authors.initials: P
authors.lastname: Varedi
authors.forename: Simin
authors.initials: S
authors.lastname: Mahmoodi
authors.forename: Hossein Nejad
authors.initials: HN
authors.lastname: Gashti
authors.forename: Mohsen
authors.initials: M
authors.lastname: Darabi