Adult polycystic kidney disease

Case contributed by Ian Bickle
Diagnosis almost certain


Premature hypertension with renal impairment. Need renal MRI to review for renovascular hypertension.

Patient Data

Age: 35 years
Gender: Male

Both kidneys are grossly enlarged measuring more than 20 cm. 

The kidneys are completely replaced with innumerable cysts. No meaningful renal cortical tissue. A small number of the cysts have variable signal within in keeping with hemorrhage.

Both kidneys have a dual arterial supply. No stenosis.

Innumerable cysts in the liver. Normal pancreas.

Case Discussion

Florid first presentation of adult polycystic kidney disease (APKD) identifying the cause for both the early hypertension and renal impairment.

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