Serrano PA;Fernandez G;Gonzalez-Peramato Gutierrez PG;Garcia CE;Rodriguez PD;Lovaco CF;

Servicio de Urologia, Hospital General Universitario de Guadalajara, Espana

OBJECTIVE: To describe a case of adult renal polycystosis causing intercostal hernia with intestinal segment. To our knowledge, no such case has been previously reported in the literature. METHODS/RESULTS: Diagnosis was by abdominal CT. Treatment was by bilateral nephrectomy and surgical repair of the diaphragmatic and intercostal hernia. CONCLUSIONS: Surgery is indicated in adult renal polycystosis if kidney size causes gastrointestinal involvement and above all, if the lungs are compromised by the intercostal diaphragmatic hernia