A teenage patient with autosomal recessive polycystic kidney disease, a splenorenal shunt, and congenital hepatic fibrosis: a case report

ABSTRACT A 16-year-old female patient previously diagnosed with autosomal recessive polycystic kidney disease (ARPKD) presented with acute bilateral pneumonia, upper gastrointestinal bleeding caused by ruptured esophageal varices, ascites, and lower limb edema. She required intensive care and an end...

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Main Authors: Vinicius Danieli Scarioti, Lucia Tabim de Oliveira, Anye Caroline Mattiello, Nayara dos Santos Gomes
Format: Article
Language:English
Published: Sociedade Brasileira de Nefrologia 2018-09-01
Series:Brazilian Journal of Nephrology
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002018005031102&lng=en&tlng=en
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author Vinicius Danieli Scarioti
Lucia Tabim de Oliveira
Anye Caroline Mattiello
Nayara dos Santos Gomes
author_facet Vinicius Danieli Scarioti
Lucia Tabim de Oliveira
Anye Caroline Mattiello
Nayara dos Santos Gomes
author_sort Vinicius Danieli Scarioti
collection DOAJ
description ABSTRACT A 16-year-old female patient previously diagnosed with autosomal recessive polycystic kidney disease (ARPKD) presented with acute bilateral pneumonia, upper gastrointestinal bleeding caused by ruptured esophageal varices, ascites, and lower limb edema. She required intensive care and an endoscopic procedure to treat the gastrointestinal bleeding. The analysis of the differential diagnosis for chronic liver disease indicated she had a spontaneous splenorenal shunt. Ultrasound-guided biopsy revealed the patient had cirrhosis, as characteristically seen in individuals with ARPKD. She had no symptoms at discharge and was referred for review for a combined transplant.
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spelling doaj.art-2107eab608ec4a049a97692a672dc8ac2022-12-21T17:49:51ZengSociedade Brasileira de NefrologiaBrazilian Journal of Nephrology2175-82392018-09-01010.1590/2175-8239-jbn-2018-0081S0101-28002018005031102A teenage patient with autosomal recessive polycystic kidney disease, a splenorenal shunt, and congenital hepatic fibrosis: a case reportVinicius Danieli ScariotiLucia Tabim de OliveiraAnye Caroline MattielloNayara dos Santos GomesABSTRACT A 16-year-old female patient previously diagnosed with autosomal recessive polycystic kidney disease (ARPKD) presented with acute bilateral pneumonia, upper gastrointestinal bleeding caused by ruptured esophageal varices, ascites, and lower limb edema. She required intensive care and an endoscopic procedure to treat the gastrointestinal bleeding. The analysis of the differential diagnosis for chronic liver disease indicated she had a spontaneous splenorenal shunt. Ultrasound-guided biopsy revealed the patient had cirrhosis, as characteristically seen in individuals with ARPKD. She had no symptoms at discharge and was referred for review for a combined transplant.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002018005031102&lng=en&tlng=enRim Policístico Autossômico RecessivoCirrose HepáticaAdolescente
spellingShingle Vinicius Danieli Scarioti
Lucia Tabim de Oliveira
Anye Caroline Mattiello
Nayara dos Santos Gomes
A teenage patient with autosomal recessive polycystic kidney disease, a splenorenal shunt, and congenital hepatic fibrosis: a case report
Brazilian Journal of Nephrology
Rim Policístico Autossômico Recessivo
Cirrose Hepática
Adolescente
title A teenage patient with autosomal recessive polycystic kidney disease, a splenorenal shunt, and congenital hepatic fibrosis: a case report
title_full A teenage patient with autosomal recessive polycystic kidney disease, a splenorenal shunt, and congenital hepatic fibrosis: a case report
title_fullStr A teenage patient with autosomal recessive polycystic kidney disease, a splenorenal shunt, and congenital hepatic fibrosis: a case report
title_full_unstemmed A teenage patient with autosomal recessive polycystic kidney disease, a splenorenal shunt, and congenital hepatic fibrosis: a case report
title_short A teenage patient with autosomal recessive polycystic kidney disease, a splenorenal shunt, and congenital hepatic fibrosis: a case report
title_sort teenage patient with autosomal recessive polycystic kidney disease a splenorenal shunt and congenital hepatic fibrosis a case report
topic Rim Policístico Autossômico Recessivo
Cirrose Hepática
Adolescente
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002018005031102&lng=en&tlng=en
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