Renal cancer complicating acquired cystic kidney disease.

1994 ◽  
Vol 5 (6) ◽  
pp. 1407.1-1407
Author(s):  
V R Pateras
Keyword(s):  
Kidney Disease ◽  
Renal Cancer ◽  
Cystic Kidney Disease ◽  
Cystic Kidney ◽  
Acquired Cystic Kidney Disease

scholarly journals Renal cancer complicating acquired cystic kidney disease.

1994 ◽  
Vol 4 (12) ◽  
pp. 1951-1956
Author(s):  
J T Marple ◽  
M MacDougall ◽  
A M Chonko
Keyword(s):  
Kidney Disease ◽  
Renal Cancer ◽  
Renal Mass ◽  
Major Complication ◽  
Screening Tools ◽  
Cystic Kidney Disease ◽  
Cystic Kidney ◽  
Computed Tomographic ◽  
Contrast Enhanced ◽  
Acquired Cystic Kidney Disease

Acquired cystic kidney disease (ACKD) occurs in the setting of prolonged azotemia and is therefore common in dialysis patients. It is characterized by epithelial proliferation, and its major complication is the development of renal cancer. The incidence of renal cancer is significantly increased in ACKD patients and is probably increased overall in the ESRD population as well. Those ESRD patients with suspicious symptoms, prolonged predialysis azotemia, or a dialysis duration of longer than 3 yr, or those who are candidates for a renal transplant should be screened for ACKD. Sonography or computed tomographic scanning are useful as initial screening tools. However, although more expensive and requiring contrast administration, the contrast-enhanced computed tomographic scan is the definitive imaging procedure by which to initially evaluate a renal mass. A suspicious renal mass is a patient who is a surgical candidate is an indication for a radical nephrectomy.

scholarly journals Bilateral Spontaneous Perirenal Hemorrhage in an Acquired Cystic Kidney Disease Hemodialysis Patient

2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
Daigoro Hirohama ◽  
Hiroshi Miyakawa
Keyword(s):  
Kidney Disease ◽  
Renal Artery ◽  
Rare Complication ◽  
Artery Aneurysm ◽  
Arterial Embolization ◽  
Aneurysm Rupture ◽  
Cystic Kidney Disease ◽  
Cystic Kidney ◽  
Acquired Cystic Kidney Disease ◽  
Perirenal Hemorrhage

Acquired cystic kidney disease (ACKD) is a well-known late stage complication of chronic kidney disease. Cysts tend to grow with time on dialysis and could lead to malignant transformation, and intra- or perirenal hemorrhage is a rare complication of ACKD. Here we describe one case of bilateral spontaneous perirenal hemorrhage of ACKD in a 44-year-old man, on hemodialysis for 15 years. One was due to cyst rupture, and the other was due to aneurism rupture, both were controlled with transcatheter arterial embolization. In renal arteriography at the second rupture, we demonstrated extravasation from an aneurysm being present at the periphery of right renal artery. Several spontaneous perirenal hemorrhage cases were reported but its clinical information is limited, moreover, bilateral cases were extremely rare. Furthermore, to our knowledge, this is the first report of spontaneous perirenal hemorrhage caused by intraparenchymal renal artery aneurysm rupture in ACKD patients. We report this case because of its rarity and significance with respect to the complication of dialysis patients, review reported bilateral cases, and discuss some clinical characteristics.

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