Figure 924

Autosomal-dominant polycystic kidney disease (ADPKD): polycystic liver disease. Contrast-enhanced CT in a 32-year-old woman with ADPKD, showing massive polycystic liver disease contrasting with mild kidney involvement.

Massive polycystic liver disease can cause chronic pain, early satiety, supine dyspnea, abdominal hernia, and, rarely, obstructive jaundice, or hepatic venous outflow obstruction. Therapeutic options include cyst sclerosis and fenestration, hepatic resection, and, ultimately, liver transplantation [25, 26].

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