Adult polycystic kidney disease

Case contributed by Dr Varun Babu

Presentation

Renal cysts on follow up, recent ultrasound revealed a complex cyst.

Patient Data

Age: 25 years
Gender: Female
Modality: CT
  • multiple simple cortical and medullary cysts ranging from a few millimeters to few centimeters seen in both kidneys
  • the largest cyst in the upper pole of right kidney has smooth thin walls with an identifiable mildly enhancing soft tissue component. Thin rim of wall calcification also seen 
  • multiple simple hepatic cysts

Case Discussion

Multiple simple renal and hepatic cysts at this age raises the possibility of hereditary transmission of cystic renal disease. Complications commonly encountered include hemorrhage, calculi formation and eventually end stage renal disease. Any complex cyst identified has to be evaluated for underlying malignant change. The cyst in question was recommended for further evaluation and histopathological correlation. 

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Case Information

rID: 48845
Case created: 26th Oct 2016
Last edited: 27th Oct 2016
System: Urogenital
Inclusion in quiz mode: Included

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