Obstructive Jaundice in a Patient with Polycystic Liver Disease

Liver involvement is the most frequent extra-renal manifestation in autosomaldominant polycystic kidney disease. The incidence of polycystic liver disease (PLD) among patients with chronic renal failure due to polycystic kidneys exceeds 50%. Most patients with liver cyst remain asymptomatic with preserved hepatic function. However, patients rarely develop pain and other complications. Jaundice caused by bile duct compression is a very rare complication and only few case reports exist in the literature. In this paper, we describe a 57-year-old man with endstage renal disease due to adult polycystic kidneywith multiple large hepatic cystswho developed obstructive jaundice.