Autosomal dominant polycystic kidney disease
Left abdominal pain.
CT Abdomen and pelvis
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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.
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.
- 1. Torres VE, Wilson DM, Hattery RR et-al. Renal stone disease in autosomal dominant polycystic kidney disease. Am. J. Kidney Dis. 1993;22 (4): 513-9. Pubmed citation
- 2. Baishya R, Dhawan DR, Kurien A et-al. Management of nephrolithiasis in autosomal dominant polycystic kidney disease - A single center experience. Urol Ann. 2012;4 (1): 29-33. doi:10.4103/0974-7796.91618 - Free text at pubmed - Pubmed citation