Autosomal dominant polycystic kidney disease

Case contributed by Dr Mohammad Taghi Niknejad

Presentation

Abdominal pain and distention.

Patient Data

Age: 50 years
Gender: Male

Innumerable varying sized cysts are seen at both kidneys less than 55 mm.
There are also multiple cysts at liver less than 25 mm. 
Additionally, splenomegaly is noted.

Innumerable varying sized cysts are seen at both kidneys less than 55 mm. Several small hyperdense foci are present between the cysts inferring stones or focal wall calcifications, measuring less than 8 mm. There are also multiple cysts at liver less than 25 mm. 

The spleen is not seen due to prior resection.

A 35×25 mm fluid accumulation is present at anterior aspect of left pelvis. 
The prostate gland is enlarged.

Case Discussion

Features are typical for autosomal dominant polycystic kidney disease.

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