Rupture in Polycystic Kidney Disease Presented as Generalized Peritonitis with Severe Sepsis: A Rare Case Report
Author(s) -
Muhammad Nauman Zahir,
Hassan Al Muttairi,
Surjya Prasad Upadhyay,
Piyush N Mallick
Publication year - 2013
Publication title -
case reports in urology
Language(s) - English
Resource type - Journals
eISSN - 2090-696X
pISSN - 2090-6978
DOI - 10.1155/2013/927676
Subject(s) - medicine , sepsis , nephrectomy , urinary system , peritonitis , intensive care unit , polycystic kidney disease , rare disease , autosomal dominant polycystic kidney disease , kidney , disease , surgery
Recurrent upper urinary tract (renal) infections have been reported to be frequent in patients with autosomal dominant polycystic kidney disease and often difficult to treat. Female preference and enteric organism predominance suggest that these renal infections are acquired to retrograde from the lower urinary tract. We encountered a rare case of bilateral polycystic kidneys with spontaneous intraperitoneal rupture of multiple infected renal cysts causing generalized peritonitis leading to severe sepsis with multiorgan failure. The patient is successfully managed with nephrectomy followed by prolonged supportive care in intensive care unit.
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