Autosomal dominant polycystic kidney disease - early onset

Case contributed by Dr Bruno Di Muzio


Bilateral flank pain and haematuria.

Patient Data

Age: 25-year-old
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 characteristic of simple cysts. Both kidneys are enalarged. 

Case Discussion

The presence of enlarged kidneys with multiple cysts in a young adult patient complaining of bilateral flank pain and haematuria 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 attention. 


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Case information

rID: 40734
Case created: 1st Nov 2015
Last edited: 14th Jun 2017
System: Urogenital
Inclusion in quiz mode: Included

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