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Simultaneous bilateral nephrectomy of hugely enlarged polycystic kidneys – a case report

Fariborz Bagheri, Senthil Kumar, Hamzeh Esmaeilpour, Mohammad Hassan, Akos Pytel
Published in : HAMDAN MEDICAL JOURNAL ; Future Issues
DOI : 10.7707/hmj.744

Abstract


Simultaneous bilateral nephrectomy of the largest size of autosomal dominant polycystic kidneys, first of its kind in UAE. A 57-year-old man referred to our department with abdominal pain and distension, difficulty in walking and breathing, and oedema of both legs caused by hugely enlarged bilateral polycystic kidneys. He was on haemodialysis since 3 years ago. Any type of operation was refused by him. In October 2016, he was admitted to hospital due to deterioration of his general condition and intolerable quality of life caused by severe compression to the abdominal organs. After obtaining written consent, simultaneous open bilateral nephrectomy was done successfully. Mass of both kidneys removed was 13 050 g which is, to our knowledge, the largest polycystic kidneys removed simultaneously so far. Early bilateral nephrectomy is advisable in patients with end-stage renal failure with tendency of progressive enlargement of the kidney size.


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