Nephrectomy for polycystic kidney disease in a patient undergoing kidney transplant evaluation: a case report

To present the case of a patient in protocol as a potential renal graft recipient who underwent bilateral nephrectomy secondary to polycystic kidney disease, emphasizing the clinical and preventive implications in kidney transplantation. This report describes a clinical case of a potential renal graft recipient with a history of bilateral polycystic kidney disease. Clinical findings, laboratory studies, and decision-making considerations during the kidney transplant protocol process were reviewed. The patient presented no complications following the bilateral nephrectomy. The diagnostic confirmation led to a temporary pause in the kidney transplant protocol until clinical stabilization after the polycystic kidney disease intervention. Currently, the patient remains in the protocol process with no contraindications. Polycystic kidney disease is of great clinical relevance due to its progressive evolution toward advanced chronic kidney disease and its multiple systemic manifestations. The importance of an adequate pre-transplant evaluation is highlighted, including multidisciplinary follow-up, laboratory tests, and imaging studies for the timely detection, diagnosis, and management of comorbidities. This approach aims to prevent complications and ensure appropriate medical intervention to maintain the graft recipient in optimal condition.