Is ADPKD associated with small-bowel diverticular disease?
Nephrology Service, Hospital de Barbastro (Huesca), and Internal Medicine Service, Hospital Universitario Arnau de, Vilanova, Lérida, Spain Sir, It has become evident to nephrologists that autosomal dominant polycystic kidney disease (ADPKD) is a systemic disease with multiple extrarenal manifestations. Among these, colonic diverticulosis may be a cause of morbidity and mortality when it presents as diverticulitis and perforation. We report the case of a patient on a dialysis programme because of end-stage renal disease (ESRD) secondary to ADPKD, who was diagnosed with colonic diverticulosis and multiple diverticuli in the small bowel in both the jejunum and ileum. No previous cases of this association have been reported. Case. A 75-year-old female chronic haemodialysis ADPKD patient was admitted to our department in August 1999 because of abdominal pain. Nine years earlier she had required an emergency admission because of abdominal pain. A laparotomy was performed and multiple divert
