Autosomal dominant polycystic kidney disease

Case contributed by Varun Babu
Diagnosis certain


Left flank pain

Patient Data

Age: 40 years
Gender: Male

Bulky bilateral kidneys with parenchyma replaced by numerous cysts of varying sizes. The bulk of them show normal fluid signal intensity apart from few which show T2 isointense to hypointense signals in keeping with hemorrhages within. 

Multiple cysts are also seen in the liver parenchyma. 

CT identifies the presence of a small calculus in the lower pole of right kidney. The hyperdense hemorrhagic cysts are evident. 

Case Discussion

This case is an example of acute exacerbation in a known patient of adult polycystic kidney disease. Calcular disease and cyst hemorrhages are the two most most common etiologies of flank pain in these patients. 

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