scholarly journals A Rare Case of an Intraductal Papillary Mucinous Neoplasm of Pancreas Fistulizing Into Duodenum With Adult Polycystic Kidney Disease

2015 ◽  
Vol 8 (2) ◽  
pp. 197-200
Author(s):  
Nirav Pipaliya ◽  
Chetan Rathi ◽  
Pathik Parikh ◽  
Ruchir Patel ◽  
Meghraj Ingle ◽  
...  
Pancreas ◽  
2019 ◽  
Vol 48 (5) ◽  
pp. 698-705 ◽  
Author(s):  
Bairbre A. McNicholas ◽  
Yoshida Kotaro ◽  
William Martin ◽  
Ayush Sharma ◽  
Patrick S. Kamath ◽  
...  

2011 ◽  
Vol 3 (1) ◽  
pp. 44-45
Author(s):  
Hema Dhumale ◽  
Yeshita Pujar ◽  
Bhavana Sherigar ◽  
Babasaheb Raosaheb Desai ◽  
Geeta Durdi ◽  
...  

ABSTRACT Autosomal dominant polycystic kidney disease (ADPKD) is the most widespread cause of genetic nephropathy. Only 25% of patients are symptomatic.1 One in 1,000 people carries the autosomal dominant polycystic kidney disease mutant gene. Autosomal dominant polycystic kidney disease is usually asymptomatic until the third or fourth decade of life, although histological evidence of the disease is likely to be present from intrauterine life. Rarely, however, kidneys that are anatomically similar may cause death in infancy or early childhood, and the condition has been designated as “adult variety occurring in infancy”.2 In ADPKD, cysts develop only later in adulthood yet exceptionally cysts may be encountered in utero. We report a rare case of ADPKD, which was diagnosed by ultrasonography in utero as infantile polycystic kidney disease due to the presence of bilateral enlarged hyperechogenic kidneys with oligohydramnios. Pregnancy was terminated and autopsy revealed it to be an adult polycystic kidney disease. This case is reported due to its rare presentation in utero.


1998 ◽  
Vol 13 (6) ◽  
pp. 1567-1569 ◽  
Author(s):  
W. F. Hendry ◽  
D. Rickards ◽  
J. P. Pryor ◽  
L. R. Baker

Nephron ◽  
1979 ◽  
Vol 24 (4) ◽  
pp. 198-204 ◽  
Author(s):  
Harry Preuss ◽  
Kenneth Geoly ◽  
Michael Johnson ◽  
Alexander Chester ◽  
Alan Kliger ◽  
...  

2008 ◽  
Vol 136 (Suppl. 4) ◽  
pp. 287-293
Author(s):  
Visnja Lezaic ◽  
Vladimir Ostric ◽  
Gordana Popovic ◽  
Milja Vukoje ◽  
Branislava Dragoljic ◽  
...  

INTRODUCTION. Adult polycystic kidney disease (APKD) is the most common hereditary kidney disease in humans. The course of the disease is accompanied by numerous complications. OBJECTIVE The aim was to assess the prevalence, clinical course and outcome of adult dominant polycystic kidney disease (ADPKD) patients on renal replacement therapy. METHOD. Medical data on 700 haemodialyzed (HD) and 500 transplanted patients treated in 10 Serbian centres from 1996 to 2000 were retrospectively analyzed. While ADPKD patients accounted for 13% of HD patients in Serbia in 2000, in the period between 1996 and 2000, the percent of patients with ADPKD in the population of patients starting HD in 8 examined centres changed from 13.5% to 6.9%. RESULTS. The total number of 180 ADPKD patients on HD was analyzed (96 males; aged 55 years at HD onset). Their HD lasted between 1 and 22 years: males started HD 1.3 years earlier and spent on HD 1.1 years less than females. In 53% of HD patients one or more family members had ADPKD but the cause of death was unknown for many family members. Hypertension was present in 75% of ADPKD patients, anaemia in 37% and other organ involvement (usually liver) was found in 53 patients. Fifty patients experienced AV fistula thrombosis and a vascular prosthesis had to be used in 9 of them. A hundred and two HD patients died (aged between 38 and 78 years, on HD for 5.3 years). The causes of death were stroke (19.6%), cardiovascular diseases (29%), infections, while 5% of patients died with the picture of acute abdomen. Among 500 transplanted patients, there were 20 patients with ADPKD (11 males, ages between 35 and 56 years at the time of transplantation) and 14 of them received graft from cadaver donor. Uni- or bilateral nephrectomy was done in 4 patients in the pretransplant preparation, and in another two early after transplantation due to urinary infection. Three patients restarted HD in the first 3 months after transplantation due to acute tubular necrosis and 10 patients died 56.5 months after the transplantation. The known causes of death were cardiovascular disease (3 patients), severe gastrointestinal bleeding (2 patients), infection (2 patients) and cancer (2 patients). CONCLUSION. The obtained results showed that it was possible to provide a favourable outcome of patients with APBB on renal replacement therapy in spite of numerous complications.


The Lancet ◽  
1983 ◽  
Vol 322 (8345) ◽  
pp. 337-338 ◽  
Author(s):  
Denise Main ◽  
MichaelT. Mennuti ◽  
David Cornfeld ◽  
Beverly Coleman

Author(s):  
Andres M. Lozano ◽  
Richard Leblanc

ABSTRACT:The pathogenic basis of the association between adult polycystic kidney disease (APKD) and cerebral aneurysms is unknown. We have compared cerebral aneurysms in 79 patients with APKD gleaned from the literature to the sporadic aneurysm cases reported by the Cooperative Study to determine if there are significant biological differences between these two groups. Sixty-eight patients had a single aneurysm and 11 (14%) had multiple aneurysms. In APKD patients with subarachnoid hemorrhage from a single aneurysm there was a significant over-representation of males (72%, p < 0.01); and the APKD group had more aneurysms of the middle cerebral artery (37%, p < 0.05). The peak decennial incidence and mean age of rupture of APKD-associated aneurysms was younger (mean age 39.7 years, p < 0.01) and over 77% of APKD-associated aneurysms had ruptured by age 50 versus 42% for sporadic aneurysms (p < 0.001). Cerebral aneurysms co-existed with APKD in the absence of hypertension in 25% of 45 cases where the presence or absence of hypertension was recorded. These biological differences and the occurrence of aneurysms in normotensive APKD patients suggests an etiology which may be independent of hypertension and that APKD-associated aneurysms may be genetically determined. It is hypothesized that cases of inherited, familial cerebral aneurysms could be linked to a genetic defect resembling that which occurs on chromosome 16 in APKD.


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