Adult polycystic kidney disease

Case contributed by Ian Bickle


Hematuria. No prior medical history.

Patient Data

Age: 35 years
Gender: Male

Bilateral renomegaly.

The renal parenchyma of both kidneys is largely replaced by cysts of varying sizes.  Thin rim calcification of multiple cysts.

High attenuation in several of the cortical cysts, consistent with hemorrhage or proteinaeous material.

6 cm segment 8/7 hepatic hemangioma.

Case Discussion

The typical appearances of innumerable cysts of variable size replacing the functional parenchymal tissue of the kidneys observed in adult polycystic kidney disease (APKD)

Over time some cysts may be of variable attenuation reflective of blood or proteinaceous material within or part calcify.

This was this young adult's first presentation with the symptoms of hematuria.


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