Case Report: PDF OnlyRecurrent Retroperitoneal Abscess Due to Perforated Colonic Diverticulitis in a Patient with Polycystic Kidney DiseaseLi, Szu-Yuana, e; Jiang, Jeng-Kaib, e; Chang, Yen-Hwac, e; Wu, Te-Changd; Yang, Wu-Changa, e; Ng, Yee-Yunga, e, *Author Information aDivision of Nephrology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, R.O.C. bDivision of Colorectal Surgery, Taipei Veterans General Hospital, Taipei, Taiwan, R.O.C. cDivision of Urology, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan, R.O.C. dDepartment of Radiology, Chi Mei Medical Center, Taipei, Taiwan, R.O.C. eNational Yang-Ming University School of Medicine, Taipei, Taiwan, R.O.C. *Correspondence to: Dr Yee-Yung Ng, Division of Nephrology, Department of Medicine, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Road, Taipei 112, Taiwan, R.O.C. E-mail: [email protected] Received: March 4, 2008; • Accepted: October 21, 2008. Journal of the Chinese Medical Association: March 2009 - Volume 72 - Issue 3 - p 153-155 doi: 10.1016/S1726-4901(09)70042-5 Metrics Abstract Patients with autosomal dominant polycystic kidney disease (ADPKD) usually have extrarenal manifestations. We report the case of a 53-year-old man with ADPKD who presented with a retroperitoneal abscess of the left side after undergoing bilateral nephrectomy for a cyst that had repeatedly bled for 1 year. The abscess recurred despite drainage with a pig-tail catheter and antibiotic treatment. Fistulography with injection of diluted contrast medium via the pig-tail catheter showed an accumulation of contrast medium in the descending colon, which indicated a fistula between the abscess and the descending colon. A portion of the descending colon was resected, and multiple diverticulitis with 1 perforation in the resected specimen was observed. The findings support a diagnosis of retroperitoneal abscess caused by a perforated diverticulum—an extrarenal manifestation of ADPKD. © 2009 by Lippincott Williams & Wilkins, Inc.