Autosomal dominant polycystic kidney disease

Case contributed by Vinay TP
Diagnosis possible

Presentation

Abdominal pain for 4 to 5 days.

Patient Data

Age: 45 years
Gender: Female

Multiple well-defined non-communicating cystic lesions in bilateral kidneys replacing the normal renal cortex, showing no enhancement on the post-contrast study. No evidence of hemorrhagic cysts.
Multiple well defined subcentimetric cysts in both lobes of liver showing no enhancement on post contrast study.
Wall defect noted in the umbilical region with bowel loops as its contents suggestive of an umbilical hernia. 
Mesenteric lymph nodes in the right iliac fossa.

Case Discussion

A 45 year old lady presented with complaints of abdominal discomfort for 5 days.

CT scan with contrast enhancement was done.

Following were the findings:

KIDNEYS: Multiple well defined non--communicating cystic lesions in bilateral kidneys, replacing the normal renal cortex, showing no enhancement on post contrast study. No evidence of hemorrhagic cysts.

LIVER: Multiple well defined subcentimetric cysts in both lobes of liver showing no enhancement on post contrast study.

ABDOMINAL WALL: Wall defect noted in the umbilical region with bowel loops as its contents suggestive of umbilical wall hernia.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.