Autosomal dominant polycystic kidney disease

Case contributed by Dr Mohammad Taghi Niknejad

Presentation

Bilateral flank pain and fullness.

Patient Data

Age: 55 years
Gender: Female

Both kidneys are enlarged containing innumerable varying-sized cysts less than 58 mm. A few of the cysts show hyperdense contents inferring hemorrhage. There are also several hyperdense foci located between the cysts compatible with wall calcifications or stones. 

Multiple thin-walled cysts less than 20 mm are seen in the liver.

The gallbladder is not seen at the anatomical location due to prior resection.

Case Discussion

Features on CT are typical for autosomal dominant polycystic kidney disease which is a common hereditary form of adult cystic renal disease

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