Sharma Garima, Lal Hira, Prasad Narayan
Department of Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
Department of Nephrology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
Vasc Specialist Int. 2024 Oct 15;40:36. doi: 10.5758/vsi.240031.
Autosomal dominant polycystic kidney disease (ADPKD) is one of the most common hereditary kidney diseases. In addition to renal involvement, vascular complications including intracranial arterial, aortic aneurysms and dissections are common in these patients. We report the case of a 35-year-old male patient with ADPKD who presented with hematuria and was diagnosed with two intrarenal arterial pseudoaneurysms. Endovascular embolization using coils was performed to resolve these symptoms. Vascular complications are often encountered in patients with ADPKD; hence, sufficient clinical suspicion and timely diagnosis can help manage the disease. The most common causes of hematuria in ADPKD patients are cyst hemorrhage or infection; however, vascular aneurysms should also be considered a possibility.
常染色体显性多囊肾病（ADPKD）是最常见的遗传性肾脏疾病之一。除了肾脏受累外，这些患者还常见包括颅内动脉、主动脉瘤和夹层在内的血管并发症。我们报告一例35岁的ADPKD男性患者，该患者出现血尿，被诊断为两个肾内动脉假性动脉瘤。采用弹簧圈进行血管内栓塞以缓解这些症状。ADPKD患者常出现血管并发症；因此，足够的临床怀疑和及时诊断有助于疾病的管理。ADPKD患者血尿最常见的原因是囊肿出血或感染；然而，血管动脉瘤也应被视为一种可能。
