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article · International Journal of Surgery Case Reports

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

20231 citationOpen accessMohamed I University

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.

Research topics

  • Genetic and Kidney Cyst Diseases
  • Lymphatic Disorders and Treatments
  • Renal cell carcinoma treatment

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DOI: 10.1016/j.ijscr.2023.108453

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