Autosomal dominant polycystic kidney disease

Case contributed by Dr MT Niknejad

Presentation

Work up for flank pain.

Patient Data

Age: 25 years
Gender: Male

Multiple thin walled non enhanced cortical cysts are seen at both kidneys less than 38 mm; more prominent at left side.

Additionally, a few small cysts less than 5 mm are seen at liver. 

The prostate gland is enlarged.

Case Discussion

Features on CT scan are most consistent with autosomal dominant polycystic kidney disease which is a common hereditary form of adult cystic renal disease and by far the most common hereditary cause of end stage renal failure.

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