2016 Volume 49 Issue 9 Pages 611-615
It is difficult to manage hepatic cyst infections in chronic kidney disease patients with autosomal dominant polycystic kidney disease (ADPKD), and active infections are contraindications for organ transplantation. We report a case in which a living-related renal transplantation was performed in a patient with ADPKD complicated with a refractory hepatic cyst infection. The case involved a 58-year-old female with ADPKD, who developed abdominal pain and fever, and was diagnosed with a hepatic cyst infection. After puncture drainage and antibiotic therapy, her symptoms disappeared, while her C-reactive protein level remained between 2.0～4.0 mg/dL. We decided to carry out a hepatic cyst fenestration operation, after which a living-related renal transplantation was performed (the patient’s husband acted as the donor). The patient has not suffered any rejection or infections for 2 years. These findings suggest that renal transplantation can be performed successfully in patients with ADPKD who develop refractory hepatic cyst infections, providing suitable surgery is performed.
