Lanzas Prieto Jose Manuel, Alonso De La Campa Jose Maria, Pérez García Francisco Javier, Gutiérrez García Ricardo, González Tuero Juan, Guate Ortiz Jose Luis
Departamentos de Urología, Hospital San Agustín de Avilés, Asturias, España.
Arch Esp Urol. 2003 Jun;56(5):536-8.
We present a case of adult polycystic kidney disease, also known as autosomal dominant polycystic kidney, complicated by infection of the cysts and the formation of gas within them.
METHODS/RESULTS: A 59 year old patient diagnosed of adult polycystic kidney disease with chronic renal failure on treatment with haemodialysis, who presented sepsis secondary to infection of the renal cysts. The CT scan demonstrated the presence of gas within the cysts and the microbiology revealed E. coli in one of them. Urgent nephrectomy was performed. A histological specimen of the excised organ is also presented.
Infection of one or more cysts in adult polycystic kidney disease is a rare and serious complication which may require immediate nephrectomy, particularly if gas appears within the cysts.
我们报告一例成人多囊肾病（又称常染色体显性多囊肾），其合并囊肿感染并在囊肿内形成气体。
方法/结果：一名59岁诊断为成人多囊肾病并伴有慢性肾衰竭且正在接受血液透析治疗的患者，因肾囊肿感染继发败血症。CT扫描显示囊肿内有气体，微生物学检查发现其中一个囊肿中有大肠杆菌。遂进行了紧急肾切除术。同时还展示了切除器官的组织学标本。
成人多囊肾病中一个或多个囊肿感染是一种罕见且严重的并发症，可能需要立即进行肾切除术，尤其是当囊肿内出现气体时。
