Suggest Treatment For Enlarged Spleen And Cystic Kidney

Posted on Mon, 2 Feb 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 2 Feb 2015 Answered on

Mon, 2 Mar 2015 Last reviewed on

Question : enlarged spleen and cystic kidney found on ultra sound test - he does dyalisis 3 times a week, he is a 69 yrs, old been on dyalisis for 5 yrs. concern regarding ultra sound report. I am checking this out for my husband. we have been married for 43 yrs.

Answered by Dr. Tushar Kanti Biswas (58 minutes later)

Brief Answer:
Splenomegaly & cystic kidney

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.

Cystic kidney found on ultra sound test:

The distal renal tubules develop several diverticula over the course of aging. These diverticuli may be precursors of simple cysts, which are often found in the aging kidney.

Enlarged spleen is most likely due to extra-medullary hematopoiesis as chronic kidney disease on hemodialysis is often anemic.

These are the possible explanation in a patient with chronic renal failure.

However there are many other causes of splenomegaly for which detail history and physical examination is mandatory.

Regards,

Dr. T.K. Biswas M.D. XXXXXXX

Above answer was peer-reviewed by : Dr. Raju A.T