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[Right abdominal flank pain].

H Meyer-Lehnert, J Kipnowski, H Vetter

    Schweizerische Rundschau Fur Medizin Praxis = Revue Suisse De Medecine Praxis
    |October 10, 1989
    PubMed
    Summary
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    Autosomal dominant polycystic kidney disease (ADPKD) is a genetic disorder causing enlarged kidneys with cysts. Early diagnosis in a young female with family history allowed for monitoring, showing normal renal function and blood pressure over four years.

    Area of Science:

    • Nephrology
    • Genetics
    • Medical Imaging

    Background:

    • Autosomal dominant polycystic kidney disease (ADPKD) is a common inherited renal disorder.
    • Genetic predisposition plays a crucial role in ADPKD development.
    • Early identification of ADPKD is vital for proactive management.

    Observation:

    • A 20-year-old female presented with a two-week history of right flank pain.
    • Family history revealed affected father and sister, suggesting hereditary cystic kidney disease.
    • Abdominal ultrasound demonstrated symmetrically enlarged kidneys with multiple cysts.

    Findings:

    • Diagnosis of autosomal dominant polycystic kidney disease (ADPKD) was confirmed.
    • Over a four-year follow-up, renal function remained normal.

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  • Blood pressure remained within normal limits throughout the observation period.

    • Implications:

    • This case highlights the importance of family history in diagnosing ADPKD.
    • Normal renal function and blood pressure in the early stages suggest a favorable prognosis.
    • Long-term monitoring is essential for patients with ADPKD, even in the absence of immediate complications.