Autosomal dominant polycystic kidney disease

Case contributed by Mohammadtaghi Niknejad


Known case of end-stage renal disease with renal transplantation.

Patient Data

Age: 55 years
Gender: Male

Multiple varying-sized thin-walled cysts are seen at the liver less than 80 mm.

Both kidneys are enlarged and contain numerous cortical cysts less than 40 mm. Some of them have high attenuation contents, probable due to hemorrhage. Several hyperdense foci less than 14 mm are also observed between the cysts inferring stones or calcifications.

Large diastasis is evident between the lateral border of the right rectus abdominis muscle and the semilunar line. A transplanted kidney is noted anterolateral to the right iliac fossa without hydronephrosis, stone or mass.

The right inguinal hernia also evidently contains some fat and small bowel loops.

The prostate gland is enlarged. 

Case Discussion

Typical CT findings of autosomal dominant polycystic kidney disease (ADPKD) caused end-stage renal disease and led to renal transplantation in this patient.

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