Autosomal dominant polycystic kidney disease

Case contributed by Dr Vinay TP

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.

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Case information

rID: 38189
Published: 11th Jul 2015
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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