Case Report
Value of ultrasound-guided irrigation and drainage of refractory pyocysts in ADPKD
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* Corresponding author: Peyman Varedi varedip@gmail.com
1 Department of Radiology, Hasheminejad Kidney Center, School of Medicine, Iran University of Medical Sciences, Valiasr Ave, Vanak Sq, 19697, Tehran, Iran
2 Department of Nephrology, Hasheminejad Kidney Center, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
3 Department of Dentistry, Faculty of Dentistry, Tehran Islamic Azad University, Tehran, Iran
Cases Journal 2009, 2:66 doi:10.1186/1757-1626-2-66
Published: 20 January 2009Abstract
Background
Cyst infections is not common in the patients with autosomal dominant polycystic kidney disease (ADPKD) however it may pose major problems to the clinicians because the diagnosis is hampered by lack of reliable imaging techniques for identification of the infected cysts and treatment may be difficult due to poor penetration of antibiotics into the cysts.
Case presentation
We present a case of ADPKD and intractable pyocysts that did not respond to standard antibiotic therapy but successfully treated by using ultrasound-guided cyst puncture, and repeated irrigation and drainage.
Conclusion
Where the experienced interventional radiologists are available, this method can rescue these patients from nephrectomy.