Medullary sponge kidney presenting as polycystic renal disease.

Abstract:

:We observed a 30-year-old woman in whom a large mass in the right lower quadrant and bilaterally enlarged cystic kidneys with markedly distorted collecting systems by excretory urography suggested a diagnosis of polycystic renal disease (PRD); but the linear and cystic dilatation of collecting tubules, many of which contained numerous calculi, was typical of medullary sponge kidney (MSK). Arteriography and CT scanning clearly showed that both the calcifications and the cysts were confined to the medullary portions. The cortical layer was entirely free of cysts except where large medullary cysts protruded to the surface. In patients in whom MSK imitates PRD, these conditions can be distinguished by CT scanning and arteriography.

journal_name

South Med J

journal_title

Southern medical journal

authors

Reed JR,Rutsky EA,Witten DM

doi

10.1097/00007611-198407000-00028

subject

Has Abstract

pub_date

1984-07-01 00:00:00

pages

909-12

issue

7

eissn

0038-4348

issn

1541-8243

journal_volume

77

pub_type

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