ADPKD is the most common of the hereditary diseases (1:1000). It is a systemic hereditary disorder that is characterized by cyst formation in ductal organs, particularly the kidney and liver, gastrointestinal, cardiovascular and musculoskeletal abnormalities. 1 We present a case of a 55-year-old female with ADPKD. PKD is characterised by the presence of multiple cysts (Hence, "polycystic") typically in both kidneys; however, 17% of cases initially present with observable disease in one kidney with most cases progressing to bilateral disease in adulthood. 2 It is the most common hereditary cause of End-Stage Renal Failure (ESRF). 3 It accounts for 4-10% of all cases of ESRF. 3
Mesothelioma represents a malignant tumour of the mesotheliomatous cells found in the pleura and peritoneum and is commonly associated with asbestos exposure. 1,2 Retroperitoneal mesothelioma is quite rare with an incidence of 1-2cases reported per million in the general population each year. 3 Here, we see a case of a 55 years old right-handed male, farmer by occupation, who presented to MGM Hospital, Navi Mumbai casualty with chief complaints of pain in abdomen and an epigastric abdominal lump since the last 4 months.
CASE REPORT: HOPI:A 55 years old right-handed male, farmer by occupation, presented to the MGM Hospital, Navi Mumbai casualty with chief complaints of pain in abdomen and a slowly growing epigastric abdominal lump since the last 4 months. The pain was initially in the epigastric region (more on the left side) and later became diffuse. It gradually increased in intensity over time, it was aggravated on eating and got relieved on applying pressure on the lump. It was non-radiating. There is history of loss of appetite and loss of weight for the last 4 months.
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