Description

A 70-year-old woman with autosomal dominant polycystic kidney disease (ADPKD) presented with 3 days of progressive epigastric pain unrelated to food intake. Her history included hypertension and gastro-oesophageal reflux disease. Abdominal examination revealed a soft abdomen with normal bowel sounds, mild rebound tenderness in the epigastric region and an irregular palpable liver. Laboratory results include elevated amylase (368 IU/L, normal: 18–118 IU/L), lipase (813 IU/L, normal: 9–50 IU/L) and C reactive protein (182 mg/L, normal: <7 mg/L). Her total bilirubin, transaminases and renal functions (creatinine of 0.92 mg/dL, blood urea nitrogen of 10 mg/dL and …