Department of Nephrology, Toranomon Hospital Kajigaya, Japan.
Okinaka Memorial Institute for Medical Research, Toranomon Hospital, Japan.
Intern Med. 2021;60(20):3261-3265. doi: 10.2169/internalmedicine.6974-20. Epub 2021 Oct 15.
Renal cyst infection is a frequent and serious complication of autosomal dominant polycystic kidney disease (ADPKD) that is often difficult to treat and can be fatal. While nephrectomy is the standard therapy for severe refractory renal cyst infection, it can be associated with severe adverse events. We experienced a case of repetitive renal cyst infection in a 58-year-old Japanese man with ADPKD on dialysis. He underwent renal transcatheter arterial embolization (TAE) four months after the last episodes of renal cyst infection, and his renal cyst infection has not recurred since renal TAE. This case suggested that renal TAE is effective for preventing repetitive renal cyst infection.
肾囊肿感染是常染色体显性多囊肾病 (ADPKD) 的一种严重且常见的并发症，通常难以治疗，甚至可能致命。虽然肾切除术是治疗严重难治性肾囊肿感染的标准疗法，但它可能会伴随严重的不良反应。我们遇到了一名 58 岁的日本男性透析患者，他患有 ADPKD，反复发作肾囊肿感染。在最后一次肾囊肿感染发作后四个月，他接受了肾经导管动脉栓塞术 (TAE)，此后他的肾囊肿感染未再复发。该病例提示肾 TAE 可有效预防肾囊肿感染的反复发作。
