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Q J Med 1981; 50: 269-278
© 1981 Association of Physicians


research-article

Congenital Hepatic Fibrosis and Polycystic Kidney Disease; Role of Porta-Caval Shunting and Transplantation in Three Patients

RICHARD J. S. MCGONIGLE, ALEX P. MOWAT, MICHAEL BEWICK, EDWARD R. HOWARD, SUSAN A. SNOWDEN and VICTOR PARSONS

From the Departments of Renal Medicine, Surgery and Child Health, King's College Hospital Denmark Hill, London, SE5

Accepted for publication 2 February 1981.

Three patients with congenital hepatic fibrosis and childhood-type autosomal recessive polycystic kidney disease are reported. Portal hypertension in two of the children was decompressed surgically by lieno-renal shunting, and the renal failure in two children has been successfully treated with renal transplantation. Prophylactic porta-caval shunting followed by renal transplantation is ideally suited to the sequence of events occurring clinically in the intermediate form of this condition, preventing complications of bleeding from oesophageal varices and hypersplenism. The relationship of congenital hepatic fibrosis with the various forms of polycystic kidney disease is discussed and classified.


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