Cecere N, Hakem S, Demoulin N, Hubert C, Jabbour N, Goffette P, Pirson Y, Morelle J. Weight loss in a patient with polycystic kidney disease: when liver cysts are no longer innocent bystanders.
Acta Clin Belg 2015;
70:369-71. [PMID:
25866379 DOI:
10.1179/2295333715y.0000000024]
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Abstract
OBJECTIVE AND IMPORTANCE
Autosomal dominant polycystic kidney disease (ADPKD) is the most frequent inherited kidney disorder, and liver involvement represents one of its major extra-renal manifestations. Although asymptomatic in most patients, polycystic liver disease (PLD) can lead to organ compression, severe disability and even become life-threatening, thereby warranting early recognition and appropriate management.
CLINICAL PRESENTATION
We report the case of a 56-year-old woman with ADPKD and severe weight loss secondary to a giant hepatic cyst compressing the pylorus. Partial hepatectomy was required after failure of cyst aspiration and sclerotherapy, and patient's condition improved rapidly.
DISCUSSION AND CONCLUSIONS
We discuss the presentation and classification of compressing liver cysts, and the available therapeutic alternatives for this potentially severe complication of ADPKD.
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