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  • Title: [Autosomal dominant polycystic kidney disease. Case report of a 20 kg polycystic kidney].
    Author: Leippold T, Pestalozzi D, Gloor HJ, Fehr JL.
    Journal: Urologe A; 2001 Jan; 40(1):42-5. PubMed ID: 11225431.
    Abstract:
    Polycystic kidneys can reach huge dimensions as a result of their continuous growth and thus lead to a "mechanical problem." We report on a 69-year-old patient with enormous polycystic kidneys having been treated for 4 years with standard hemodialysis. In the last 12 months, the patient was suffering from a deterioration of his condition and progressively developed cachexy. The preoperative status of the multi-morbid patient jeopardized operability. It was decided to perform bilateral nephrectomy with a Chevron incision on the right side. The right kidney weighed 11 kg, the left 9 kg. There were no postoperative problems. The massive relief resulted in an impressive improvement of this risk-patient's fitness and quality of life. There is a clear indication of unilateral nephrectomy in case of a renal transplantation. The role and necessity of a bilateral nephrectomy in the event of polycystic kidneys is discussed based on the respective literature.
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