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Polycystic Kidney Disease with Renal failure Presenting as Incarcerated Inguinal Hernia in the ED

By Eric F. Silman, Bharath Chakravarthy, Federico Vaca and Mark I. Langdorf

Abstract

Autosomal dominant polycystic kidney disease may present to the emergency department (ED) with vomiting, abdominal pain or hernias, renal insufficiency or failure, or bleeding from cerebral aneurysms. A 37-year-old man presented to the ED with signs and symptoms of incarcerated inguinal hernia. Laboratory studies showed renal failure with anion gap acidosis, and bedside ultrasound showed multicystic kidneys. Computed tomography confirmed the diagnosis. Emergency physicians should be aware of this common connective tissue defect and its serious associated conditions

Topics: Clinical Practice
Publisher: Department of Emergency Medicine, University of California, Irvine School of Medicine
OAI identifier: oai:pubmedcentral.nih.gov:2672301
Provided by: PubMed Central

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