A rare case report of bile duct compression by a polycystic kidney treated by total nephrectomy after embolization

Abstract

Introduction and importance: Polycystic kidney disease is a cillopathy characterized by the formation of numerous cysts in the kidneys, sometimes associated with extra-renal forms. Diagnosis is often by chance, or by other complications such as hematuria, urinary tract infections or, rarely, compression of neighboring organs.

Case presentation: We report the case of a patient consulted for a symptomatology similar to that of acute pancreatitis, whose investigation objectified compression of the main bile duct by a voluminous right kidney polycystic in a CT scan.

Clinical discussion: For this compressive complication of the polycystic kidney, a nephrectomy was performed after embolization of the renal artery, given the haemorrhage risk.

Conclusion: A polycystic kidney should be removed in the event of a compressive complication and, given the risk of haemorrhage, should preferably be preceded by embolization.

Keywords: Bile duct compression; Embolization; Nephrectomy; Polycystic kidney.