Autosomal dominant polycystic kidney disease

Case contributed by Dr Varun Babu

Presentation

Left flank pain

Patient Data

Age: 40 years
Gender: Male

Abdomen

Modality: MRI

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. 

Abdomen

Modality: CT

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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Case Information

rID: 50259
Case created: 28th Dec 2016
Last edited: 12th Jan 2017
System: Urogenital
Inclusion in quiz mode: Included

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