Table of Contents Author Guidelines Submit a Manuscript
Case Reports in Nephrology
Volume 2015 (2015), Article ID 982575, 4 pages
http://dx.doi.org/10.1155/2015/982575
Case Report

Unexpected Abscess Localization of the Anterior Abdominal Wall in an ADPKD Patient Undergoing Hemodialysis

1Department of Nephrology, General Hospital of Pella, 58200 Edessa, Greece
2Department of General Practice and Family Medicine, General Hospital of Pella, 58200 Edessa, Greece
3Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece
4Department of General Surgery, General Hospital of Pella, 58200 Edessa, Greece

Received 5 June 2015; Revised 2 July 2015; Accepted 22 July 2015

Academic Editor: Theodore I. Steinman

Copyright © 2015 Nikos Sabanis et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Autosomal Dominant Polycystic Kidney Disease (ADPKD) is one of the most common monogenic disorders and the leading inheritable cause of end-stage renal disease worldwide. Cystic and noncystic extrarenal manifestations are correlated with variable clinical presentations so that an inherited disorder is now considered a systemic disease. Kidney and liver cystic infections are the most common infectious complications in ADPKD patients. Furthermore, it is well known that ADPKD is commonly associated with colonic diverticular disease which recently has been reported to be linked to increased risk of infection on hemodialysis patients. Herein, we present a case of anterior abdominal wall abscess caused by Enterococcus faecalis in a patient with ADPKD undergoing hemodialysis. Although the precise pathway of infection remains uncertain, the previous medical history as well as the clinical course of our patient led us to hypothesize an alternative route of infection from the gastrointestinal tract through an aberrant intestinal barrier into the bloodstream and eventually to an atypical location.