Weekly issue 2026-W34 ·
Autosomal Dominant Polycystic Kidney Disease Presenting as a Painless Epigastric Mass: A Case Report.
Plain language
A 62-year-old woman came in with a painless lump in the upper belly — it turned out to be ADPKD with liver cysts, even with no family history. A reminder that ADPKD can disguise itself as other abdominal conditions.
Clinical note
Single case report. Teaching point for the differential diagnosis of upper abdominal masses; the patient was screened for mitral valve prolapse and aneurysms (normal) and followed for blood pressure with nephrology. Anecdote, not guidance.
Question for your next visit
If I have kidney and liver cysts but no known family history, how would you check whether I have an inherited condition?