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Un caso raro de ERC avanzada con enfermedad renal quística extensa que causa obstrucción intestinal
Aron Shrestha1, Kshitiz Acharya1, Subarna Giri1
1Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Annals of medicine and surgery (2012)
|September 3, 2025
Resumen
La enfermedad renal quística adquirida (ERCA) puede causar una obstrucción gastrointestinal rara debido a quistes renales grandes. La imagen temprana y el manejo conservador son clave para estas complicaciones inusuales de insuficiencia renal.
Área de la Ciencia:
- Nefrología
- Gastroenterología
- Radiología
Sus antecedentes:
- La enfermedad renal quística adquirida (ERCA) es una complicación de la enfermedad renal crónica (ERC), caracterizada por la formación de quistes renales.
- Aunque por lo general es asintomática, la ERCA puede conducir a complicaciones raras, incluida la obstrucción gastrointestinal por quistes grandes.
Objetivo del estudio:
- Informar de un caso raro de obstrucción intestinal causada por un quiste renal en un paciente con enfermedad renal terminal.
- Para discutir las estrategias de diagnóstico y manejo para esta complicación inusual de ACKD.
Principales métodos:
- Una presentación del caso de una mujer de 18 años con ERC en estadio V.
- El diagnóstico se confirmó a través de las modalidades de imagen (ultrasonido y TC).
- El manejo incluyó medidas conservadoras que incluyen control de fluidos, diálisis y manejo de infecciones.
Principales resultados:
- El paciente presentó distensión abdominal y obstrucción intestinal atribuida a un quiste renal grande.
- Se inició un tratamiento conservador, centrado en el control de los síntomas.
Conclusiones:
- La obstrucción gastrointestinal debido a la ERCA es una presentación extremadamente rara.
- El diagnóstico temprano a través de imágenes y un enfoque multidisciplinario y conservador de manejo son cruciales para tales casos.
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