PDF(Pubmed)
Abstract：
UNASSIGNED: 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.
METHODS: 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.
UNASSIGNED: For this compressive complication of the polycystic kidney, a nephrectomy was performed after embolization of the renal artery, given the haemorrhage risk.
CONCLUSIONS: 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.
METHODS: 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.
UNASSIGNED: For this compressive complication of the polycystic kidney, a nephrectomy was performed after embolization of the renal artery, given the haemorrhage risk.
CONCLUSIONS: 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.
摘要：
■多囊肾病是一种以肾脏形成众多囊肿为特征的关节病，有时与肾外形式有关。诊断往往是偶然的，或其他并发症，如血尿，尿路感染或，很少,压缩邻近的器官。
方法：我们报告了一例患者的症状与急性胰腺炎相似，他们的研究在CT扫描中客观地证实了大量右肾多囊性对主胆管的压迫。
■对于多囊肾的压迫性并发症，肾动脉栓塞后进行肾切除术，考虑到出血风险。
结论：如果发生压迫性并发症，应摘除多囊肾，考虑到出血的风险，最好在栓塞之前。
方法：我们报告了一例患者的症状与急性胰腺炎相似，他们的研究在CT扫描中客观地证实了大量右肾多囊性对主胆管的压迫。
■对于多囊肾的压迫性并发症，肾动脉栓塞后进行肾切除术，考虑到出血风险。
结论：如果发生压迫性并发症，应摘除多囊肾，考虑到出血的风险，最好在栓塞之前。
