Hepatic Cyst Infection in a Hemodialysis Patient with Autosomal Dominant Polycystic Kidney Disease Complicated by Non-symptomatic Caroli Disease

An 84-year-old woman undergoing hemodialysis for autosomal dominant polycystic kidney disease (ADPKD) was admitted for refractory hepatic cyst infection. Magnetic resonance cholangiopancreatography and contrast-enhanced computed tomography revealed a concurrent complication of Caroli disease, diagnosed by cystic dilatation of the intrahepatic bile duct and a central dot sign in the vicinity of the infected liver cyst. However, there was no traffic between the infected liver cyst and dilated bile duct, and the cyst drainage procedure was curative. In cases where both diseases were combined, it was suggested that two infections, cyst and biliary tract infections, could occur.

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Publication Details

Journal
Internal Medicine
Published
2025-07-16
DOI
https://doi.org/10.2169/internalmedicine.5486-25
Primary Topic
Genetic and Kidney Cyst Diseases
Type
article
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article

Hepatic Cyst Infection in a Hemodialysis Patient with Autosomal Dominant Polycystic Kidney Disease Complicated by Non-symptomatic Caroli Disease

Yoshifumi Ubara, Kandai Nozu, Naoki Sawa, Hisashi Sugimoto et al.
Internal Medicine
Genetic and Kidney Cyst Diseases
article

Hepatic Cyst Infection in a Hemodialysis Patient with Autosomal Dominant Polycystic Kidney Disease Complicated by Non-symptomatic Caroli Disease

Yoshifumi Ubara, Kandai Nozu, Naoki Sawa, Hisashi Sugimoto, Hiroki Mizuno, Yuki Oba, Takehiko Wada, Noriko Inoue, Tatsuya Suwabe, Akinari Sekine, A A Hane, Eiko Hasegawa, Kiho Tanaka, Masayuki Yamanouchi, Hisashi Kamido, Shigekazu Kurihara, Naoya Mirisada
article en

Abstract

An 84-year-old woman undergoing hemodialysis for autosomal dominant polycystic kidney disease (ADPKD) was admitted for refractory hepatic cyst infection. Magnetic resonance cholangiopancreatography and contrast-enhanced computed tomography revealed a concurrent complication of Caroli disease, diagnosed by cystic dilatation of the intrahepatic bile duct and a central dot sign in the vicinity of the infected liver cyst. However, there was no traffic between the infected liver cyst and dilated bile duct, and the cyst drainage procedure was curative. In cases where both diseases were combined, it was suggested that two infections, cyst and biliary tract infections, could occur.

Internal MedicineVol. 65(3)
Toranomon Hospital (JP), Kobe University (JP)
Good health and well-being
Openalex Percentile: Top 80%
Genetic and Kidney Cyst Diseases
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Hepatic Cyst Infection in a Hemodialysis Patient with Autosomal Dominant Polycystic Kidney Disease Complicated by Non-symptomatic Caroli Disease — Yoshifumi Ubara, Kandai Nozu, et al. · Internal Medicine (2025) | TGRS Research Map | TGRS