BMJ Case Reports 2012; doi:10.1136/bcr-2012-006229
  • Unusual association of diseases/symptoms

Pelvi-ureteric junction obstruction in autosomal-dominant polycystic kidney disease: an association yet to be reported

  1. Satyanarayan Sankhwar
  1. 1Department of Urology, CSM Medical University (Upgraded KGMC), Lucknow, Uttar Pradesh, India
  1. Correspondence to Professor Apul Goel, drapul.goel{at}

Autosomal-dominant polycystic kidney disease (ADPKD) is the most common inherited renal cystic disease. It is characterised by the development of renal parenchymal cysts and a variety of other extrarenal manifestations. Pelvi-ureteric junction (PUJ) obstruction has not been described in association with ADPKD in the literature. We present a case of a 23-year-old man presenting with bilateral flank pain. On evaluation he was diagnosed to have ADPKD with bilateral renal calculi and left-sided PUJ obstruction. He underwent successful right percutaneous nephrolithotomy and left laparoscopic dismembered pyeloplasty with simultaneous stone removal.


  • Competing interests None.

  • Patient consent Obtained.

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