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Date Published: 23/06/2022
Abstract Views: 698
Views PDF: 374
DOI: https://doi.org/10.51298/vmj.v515i2.2742
Issue
Vol. 515 No. 2 (2022)
Section
Các bài báo
How to Cite
Hiếu Học, T. ., Quế Sơn, T. ., Cao Kỳ, Đặng ., & Nguyên Vũ, L. . (2022). CLINICAL AND PARACLINICAL CHARACTERISTICS OF PATIENTS WITH COMPLICATED POLYCYSTIC KIDNEY DISEASE WHO UNDERWENT NEPHRECTOMY. Vietnam Medical Journal, 515(2). https://doi.org/10.51298/vmj.v515i2.2742

CLINICAL AND PARACLINICAL CHARACTERISTICS OF PATIENTS WITH COMPLICATED POLYCYSTIC KIDNEY DISEASE WHO UNDERWENT NEPHRECTOMY

Trần Hiếu Học1,2, Trần Quế Sơn1,3,, Đặng Cao Kỳ4, Lê Nguyên Vũ5
1 Hanoi Medical University
2 Bach Mai Hospital
3 Emergency Department, Bach Mai Hospital
4 Ha Giang General Hospital
5 Vietnam-Germany Friendship Hospital

Main Article Content

Abstract

Purpose: To describe several clinical characteristics of patients with complicated polycystic kidney disease who underwent nephrectomy. Subjects and Methods: We conducted a retrospective study on patients with polycystic kidney disease who underwent nephrectomy at the Vietnam-Germany Friendship and Bach Mai Hospitals from January 1, 2015 to December 31, 2018. Results: 26 patients were operated on, including 13 males and 13 females; the mean age was 48.85 ± 9.67 years (26 - 67). The disease lasted 14.08 years (range, 1–37). A family history of polycystic kidney disease and kidney failure were found in 69.2% and 88.5% of the cases, respectively, with one patient receiving a kidney transplant. Low back pain (100%), gross hematuria (57.5%), anemia (92.3%), of which 19.2% was severe anemia, enlarged kidneys (88.5%), and hypertension (100%) are primarily common clinical symptoms. Computed tomography revealed that 100% of cases had enlarged kidneys, with a mean longitudinal size of 21.43cm (12 - 29) and an average renal cyst size of 5.99 cm. Intracystic bleeding and cyst infection were associated with 37.6 % and 21.9% complications, respectively. Conclusion: Clinical features of patients undergoing complicated polycystic kidney surgery usually involve renal failure, hypertension, anemia, hematuria, and enlarged kidneys. Computed tomography is required to determine the morphology and complications of the kidneys.

Article Details

Keywords

Kidney, polycystic kidney, complications, nephrectomy

References

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