Stroke after cyst fenestration in a patient with autosomal dominant polycystic kidney disease and polycystic liver disease: Not necessarily aneurysm-related.

摘要: Nearly 50e90% of patients with autosomal dominant polycystic kidney disease (ADPKD) have liver (PLD). Intracranial aneurysms, which been described in both diseases, potentially elevate the risk stroke; however, strokes ADPKD and PLD may different origins. In this paper, we describe a patient who had an ischemic stroke after cyst fenestration. A 44-year-old female presented initial presentation flank pain; for decades, she diagnosed as having ADPKD. Progressive abdominal distention occurred, despite normal renal function. Computed tomography (CT) showed Gigot type II basal lung atelectasis (Fig. 1A). She underwent laparoscopic deroofing hepatic fenestration 4800 mL brown fluid drained intraoperatively. afterwards daily discharge 500e1000 cystic fluid. Her systolic blood pressure