title: Weight loss in a patient with polycystic kidney disease: when liver cysts are no longer innocent bystanders.
abstract: OBJECTIVE
  Autosomal dominant polycystic kidney disease (ADPKD) is the most frequent inherited kidney disorder, and liver involvement represents one of its major extra-renal manifestations. Although asymptomatic in most patients, polycystic liver disease (PLD) can lead to organ compression, severe disability and even become life-threatening, thereby warranting early recognition and appropriate management.
  
  
  METHODS
  We report the case of a 56-year-old woman with ADPKD and severe weight loss secondary to a giant hepatic cyst compressing the pylorus. Partial hepatectomy was required after failure of cyst aspiration and sclerotherapy, and patient's condition improved rapidly.
  
  
  CONCLUSIONS
  We discuss the presentation and classification of compressing liver cysts, and the available therapeutic alternatives for this potentially severe complication of ADPKD.
authors: Division of Nephrology, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain , Brussels, Belgium.
authors: N
authors: N
authors: Cecere
authors: S
authors: S
authors: Hakem
authors: N
authors: N
authors: Demoulin
authors: C
authors: C
authors: Hubert
authors: N
authors: N
authors: Jabbour
authors: P
authors: P
authors: Goffette
authors: Y
authors: Y
authors: Pirson
authors: J
authors: J
authors: Morelle
mesh_terms: D003560:Cysts / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D008107:Liver Diseases / Q000209:etiology* / Q000601:surgery; D008875:Middle Aged; D016891:Polycystic Kidney, Autosomal Dominant / Q000150:complications*; D015431:Weight Loss
keywords: Autosomal dominant polycystic kidney disease; Hepatectomy; Liver cysts