Autosomal dominant polycystic kidney disease - early onset

Case contributed by Bruno Di Muzio
Diagnosis probable


Bilateral flank pain and hematuria.

Patient Data

Age: 25 years
Gender: Female

CT Abdomen and pelvis


Abdomen and pelvis CT scan showing multiple renal cysts bilaterally, having different sizes, some of them are confluent, and most have characteristics of simple cysts. Both kidneys are enlarged. 

Case Discussion

The presence of enlarged kidneys with multiple cysts in a young adult patient complaining of bilateral flank pain and hematuria should raise the possibility of an autosomal dominant polycystic kidney disease (or "adult polycystic kidney disease"). Especially because the patient was considered previously well, with no history of renal diseases, and her kidneys are still demonstrating a preserved cortex. 

The images haven't shown any complicated cyst that catches the radiologist's attention. 


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