Autosomal dominant polycystic kidney disease - early onset
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At the time the case was submitted for publication Bruno Di Muzio had no recorded disclosures.View Bruno Di Muzio's current disclosures
Bilateral flank pain and hematuria.
CT Abdomen and pelvis
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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.
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.