KIDNEY AND LIVER - Polycystic disease

The specimen consists of one half of a kidney and a segment of liver. The kidney is almost entirely replaced by cysts measuring up to 2 cm. in diameter; some contain blood and others protein-aceous material. The liver, which is rather poorly fixed, shows multiple cysts up to 3 cm. in diameter; there is also scarring apparent.
This man was admitted at the age of 63 with hypertension; he died in hepato-renal failure. At autopsy the heart was enlarged and showed left ventricular hypertrophy. There were bilateral pleural effusions present and there was ascites. There were areas of mucosal haemorrhage in the small intestine. Histologically the liver showed evidence of subacute necrosis as well as cystic change.