A rare case report of bile duct compression by a polycystic kidney treated by total nephrectomy after embolization.

Abstract

INTRODUCTION AND IMPORTANCE:

Polycystic kidney disease is a cillopathy characterized by the formation of numerous cysts in the kidneys, sometimes associated with extra-renal forms. Diagnosis is often by chance, or by other complications such as hematuria, urinary tract infections or, rarely, compression of neighboring organs.

CASE PRESENTATION:

We report the case of a patient consulted for a symptomatology similar to that of acute pancreatitis, whose investigation objectified compression of the main bile duct by a voluminous right kidney polycystic in a CT scan.

CLINICAL DISCUSSION:

For this compressive complication of the polycystic kidney, a nephrectomy was performed after embolization of the renal artery, given the haemorrhage risk.

CONCLUSION:

A polycystic kidney should be removed in the event of a compressive complication and, given the risk of haemorrhage, should preferably be preceded by embolization.

• Authors: Hammou El Farhaoui, Ahmed Jdaini, Mohammed Irzi, Oualid Bounouar, Mohammed Ramdani, Ali Barki
• Journal: International journal of surgery case reports (Int J Surg Case Rep) Vol. 108 Pg. 108453 (Jul 2023) ISSN: 2210-2612 [Print] Netherlands
• PMID: 37418793 (Publication Type: Case Reports)
• Copyright: Copyright © 2023. Published by Elsevier Ltd.