Autosomal dominant polycystic kidney disease

Case contributed by Dr Bruno Di Muzio

Presentation

Left abdominal pain.

Patient Data

Age: 54-year-old
Gender: Female
CT

CT Abdomen and pelvis

Non-contrast abdomen and pelvis CT showing multiple cysts, some of them confluent, involving the liver parenchyma, as well as bilateral kidney enlargement due polycystic disease. There are some small calcifications within the cystic walls suggesting residual foci and some calcifications that seem to be into the calyceal system suggesting renal calculi. The left ureter is mildly enlarged due a small (3.5 mm) calculus in its distal third. The remainder of the exam is unremarkable within this protocol. 

Case Discussion

This patient has a known history of autosomal dominant polycystic kidney disease (ADPKD) and previous records of nephrolithiasis crisis treated in the emergency department. Nephrolithiasis occurs in approximately a fifth of patients with ADPKD 1-2

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Case information

rID: 41918
Case created: 27th Dec 2015
Last edited: 29th Dec 2015
System: Urogenital
Inclusion in quiz mode: Included

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