Autosomal dominant polycystic kidney disease with hepatic involvement
Diagnosis certain
Presentation
Abdominal discomfort.
Patient Data
Age: 45 years
Gender: Female
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Info
There are enlarged kidneys with numerous cysts. The liver also contains numerous cysts with different sizes. Several tiny cysts also are seen in the peripheral zone of spleen parenchyma.
Case Discussion
Features are consistent with known autosomal dominant polycystic kidney disease (ADPKD), a hereditary form of adult cystic renal disease.
Cysts in other organs in a patient with ADPKD :
- liver: most common, 75% by age 60 years
- seminal vesicles: 60% by age 40 years
- prostate: 11%
- pancreas: ~10%
- spleen: ~5 %
- ovaries