Shrestha Aron, Acharya Kshitiz, Giri Subarna, Timla Bipashna, Bhattarai Renish, Lal Vibhav
Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Department of Internal Medicine, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Ann Med Surg (Lond). 2025 Aug 1;87(9):6116-6120. doi: 10.1097/MS9.0000000000003671. eCollection 2025 Sep.
Acquired cystic kidney disease (ACKD) occurs in patients with kidney failure, leading to renal cyst formation. Although typically asymptomatic, large cysts can cause unusual complications like gastrointestinal obstruction.
An 18-year-old female with stage V chronic kidney disease developed abdominal distension and bowel obstruction caused by a large renal cyst. Imaging confirmed the diagnosis, and conservative management with fluid control, dialysis, and infection management was initiated.
The presentation of a renal cyst causing bowel obstruction is extremely rare, and the optimal management approach remains unclear. Diagnosis relies on imaging modalities such as ultrasound and CT, which help identify cyst characteristics and associated complications. In such cases, conservative treatment is generally preferred, focusing on symptom management through dietary modifications, while surgical intervention is considered only if symptoms persist despite medical therapy.
This case highlights the rare presentation of bowel obstruction due to ACKD and emphasizes the importance of early imaging and a multidisciplinary approach in managing such complications.
获得性肾囊肿病（ACKD）发生于肾衰竭患者，可导致肾囊肿形成。虽然通常无症状，但大囊肿可引起诸如胃肠道梗阻等异常并发症。
一名18岁的慢性肾脏病Ⅴ期女性患者出现腹胀和由一个大肾囊肿导致的肠梗阻。影像学检查确诊了该诊断，并开始采取控制液体、透析及感染管理等保守治疗措施。
肾囊肿导致肠梗阻的表现极为罕见，最佳治疗方法仍不明确。诊断依赖于超声和CT等影像学检查手段，这些检查有助于识别囊肿特征及相关并发症。在此类病例中，一般首选保守治疗，通过饮食调整来控制症状，只有在药物治疗后症状仍持续时才考虑手术干预。
本病例凸显了ACKD导致肠梗阻的罕见表现，并强调了早期影像学检查及多学科方法在处理此类并发症中的重要性。
