Giant polycystic kidney. A rare indication for nephrectomy

A 49-year-old male patient was diagnosed with autosomal dominant polycystic kidney disease while the evaluation of urinary tract infection in 2010. He was suffering from nutri-tional problems due to gastro-intestinal distur-bances and vomiting secondary to the pres-sure of the kidneys. He was also a candidate for kidney transplantation, but there was no adequate and enough space in the abdomen for the transplant kidney. Therefore, we performed open unilateral nephrectomy to the bigger kidney. As we know there is not too many cases regarding giant polycystic kidney nephrectomy, we presented our case to make additional contribution to the current literature. Se diagnosticó poliquistosis renal autosó-mica dominante a un paciente masculino de 49 años durante la evaluación de un cuadro de infección urinaria en 2010. El paciente pade-cía problemas nutricionales debido a trastornos gastrointestinales y vómitos causados por la presión de los riñones.Asimismo, era candidato a trasplante renal, pero el espacio del abdomen no era adecuado ni suficiente para realizar este procedimiento. Por lo tanto se realizó una nefrectomía unila-teral, en el riñón de mayor tamaño. Debido a que no se conocen muchos casos de nefrectomía en pacientes con poliquistosis renal con quis-tes gigantes, presentamos este para realizar un aporte a la bibliografía existente.