Kidney Transplantation After Renal Transcatheter Arterial Embolization for Cyst Infection in a Hemodialysis Patient With Autosomal Dominant Polycystic Kidney Disease: A Case Report |
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| Affiliation: | 1. Department of Urology, Osaka Metropolitan University Graduate School of Medicine, Japan;2. Department of Urology, Meijibashi Hospital, Japan;3. Department of Urology, Osaka City General Hospital, Japan;4. Department of Urology, Suita Municipal Hospital, Japan;1. Division of Transplantation Surgery, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan;2. Division of General Surgery, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan;3. Institute of Public Health, National Yang Ming Chiao Tung University, Taipei, Taiwan;4. School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan;1. Liver Transplant Institute, Inonu University Faculty of Medicine, Malatya, Turkey;2. Department Biostatistics and Medical Informatics, Inonu University Faculty of Medicine, Malatya, Turkey;3. Department of Medical Biochemistry, Inonu University Faculty of Medicine, Malatya, Turkey;4. Department of Surgery, Aminu Kano Teaching Hospital, Kano, Nigeria;5. King Hussein Medical Center, Royal Medical Services, Amman, Jordan;1. Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, Osaka, Japan;2. Osaka Center for Cancer and Cardiovascular Disease Prevention, Osaka, Japan |
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| Abstract: | A 31-year-old woman with autosomal dominant polycystic kidney disease (ADPKD) required antibiotic therapy for repeated renal cyst infections. The patient was scheduled for a living donor renal transplant with her mother as the donor. Two months before surgery, the patient was admitted to the hospital due to a severe renal cyst infection that improved with antibiotic treatment and percutaneous drainage, but the scheduled surgery was postponed. Transcatheter arterial embolization (TAE) was performed to control repeated renal cyst infections. Seven months after TAE, the patient underwent living donor renal transplantation. The postoperative course was uneventful, and the patient was discharged from the hospital on immunosuppressive medication 26 days after surgery with no evidence of recurrent infection or deterioration of renal function. Thirty months after transplantation, there has been no recurrence of infection. |
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