Leão Rodrigo Nazário, Salustio Raquel, Ribeiro José Vaz
Department of Internal Medicine, Centro Hospitalar Lisboa Central, EPE, Lisboa, Portugal.
BMJ Case Rep. 2014 Jan 17;2014:bcr2013202003. doi: 10.1136/bcr-2013-202003.
A widespread use of ultrasound (US) examination is contributing to an increase in the diagnosis of renal and hepatic cysts. However, the vast majority of these lesions are benign with an indolent course during the patient's lifespan. Adult polycystic kidney disease (APKD) is one of the most common diagnosed entities. APKD is a genetic disease defined by the presence of multiple kidney cysts, occasionally accompanied by hepatic cysts. The presence of hepatic cysts sparing kidneys is very rare and thereby must be assumed as a different clinical entity. This article describes a case of an exuberant hepatomegaly due to the presence of isolated multiple hepatic cysts without renal involvement.
超声（US）检查的广泛应用促使肾囊肿和肝囊肿的诊断率上升。然而，这些病变绝大多数是良性的，在患者的一生中进展缓慢。成人多囊肾疾病（APKD）是最常见的诊断疾病之一。APKD是一种遗传性疾病，其特征是存在多个肾囊肿，偶尔伴有肝囊肿。单纯出现肝囊肿而无肾囊肿的情况非常罕见，因此必须将其视为一种不同的临床实体。本文描述了一例因孤立性多发性肝囊肿而无肾受累导致肝脏肿大的病例。
