J Korean Soc Transplant.  2014 Dec;28(4):246-249. 10.4285/jkstn.2014.28.4.246.

Papillary Adenoma Identified in Removed Polycystic Kidneys during Kidney Transplantation in Autosomal Dominant Polycystic Kidney Disease Patient

Affiliations
  • 1Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea. kidney77@yonsei.ac.kr
  • 2Department of Surgery, Yonsei University Wonju College of Medicine, Wonju, Korea.
  • 3Department of Pathology, Yonsei University Wonju College of Medicine, Wonju, Korea.

Abstract

Kidney transplantation is the preferred treatment in end stage renal disease for autosomal dominant polycystic kidney disease (ADPKD) patients. Removal of the native kidney is not usually recommended for ADPKD patients during a transplantation procedure because the operation time may be prolonged or the risk of bleeding may be higher. Therefore, native kidney removal is indicated for patients with chronic pain by enlarged kidney, frequent complications from cysts, such as infection or bleeding, and renal tumor development. Here, we report a case of a patient whose native kidneys were removed during a kidney transplantation procedure, and multifocal adenomas were identified in the removed kidneys after the procedure.

Keyword

Autosomal dominant polycytic kidney; Adenoma; Kidney transplantation

MeSH Terms

Adenoma*
Chronic Pain
Hemorrhage
Humans
Kidney
Kidney Failure, Chronic
Kidney Transplantation*
Polycystic Kidney Diseases*
Polycystic Kidney, Autosomal Dominant*
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