Autosomal dominant polycystic kidney disease

Case contributed by Mohammadtaghi Niknejad


Work up for abdominal pain.

Patient Data

Age: 65 years
Gender: Female

Both kidneys are enlarged and contain innumerable varying-sized cortical cysts bilaterally. Small calcified foci are scattered between the cysts could be suggestive of stones.

Additionally, numerous cysts are present in the liver less than 45 mm. 

Uncomplicated distal colonic diverticulosis is present.

In imaged portions of the lower thorax, a little amount of pericardial effusion is evident. 

Case Discussion

Features on CT images are compatible with autosomal dominant polycystic kidney disease, also known as adult polycystic kidney disease, a hereditary form of adult cystic renal disease.

Cysts also may be seen in other organs, including the liver (most common), ovaries, spleen, seminal vesicles, prostate, and pancreas.


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